Normothermic Cardiac Surgery with Warm Blood Cardioplegia in Patient with Cold Agglutinins
The Korean Journal of Thoracic and Cardiovascular Surgery
;
: 133-136, 2014.
Article
in English
| WPRIM
| ID: wpr-49878
ABSTRACT
Cold agglutinins are predominately immunoglobulin M autoantibodies that react at cold temperatures with surface antigens on the red blood cell. This can lead to hemagglutination at low temperatures, followed by complement fixation and subsequent hemolysis on rewarming. Development of hemagglutination or hemolysis in patients with cold agglutinins is a risk of cardiac surgery under hypothermia. In addition, there is the potential for intracoronary hemagglutination with inadequate distribution of cardioplegic solutions, thrombosis, embolism, ischemia, or infarction. We report a patient with incidentally detected cold agglutinin who underwent normothermic cardiac surgery with warm blood cardioplegia.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Autoantibodies
/
Thoracic Surgery
/
Thrombosis
/
Complement System Proteins
/
Immunoglobulin M
/
Cardioplegic Solutions
/
Cardiopulmonary Bypass
/
Rewarming
/
Cold Temperature
/
Agglutinins
Limits:
Humans
Language:
English
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2014
Type:
Article
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