Normothermic Cardiac Surgery with Warm Blood Cardioplegia in Patient with Cold Agglutinins
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 133-136, 2014.
Article
em En
| WPRIM
| ID: wpr-49878
Biblioteca responsável:
WPRO
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Autoanticorpos
/
Cirurgia Torácica
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Trombose
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Proteínas do Sistema Complemento
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Imunoglobulina M
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Soluções Cardioplégicas
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Ponte Cardiopulmonar
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Reaquecimento
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Temperatura Baixa
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Aglutininas
Limite:
Humans
Idioma:
En
Revista:
The Korean Journal of Thoracic and Cardiovascular Surgery
Ano de publicação:
2014
Tipo de documento:
Article