[ABO incompatibility in organ transplant. Report of case and review of the literature].
One case of a multiple organs donor that resulted in kidney and heart transplants with inadvertent ABO incompatibility is described. The renal recipients showed the presence of high anti A antibodies titers. The reviewed publications have revealed that the preparation of the receptor with plasmapheresis and splenectomy, before the transplantation may prevent the hyperacute rejection on ABO incompatible organs allografts. In emergency situations, liver transplantation is accepted with ABO incompatible donor without previous treatment.
Narciso
H R
HR
Hosp. São Paulo da Esc. Paul. de Med.
Bordin
J O
JO
Silva Júnior
H T
HT
Ajzen
H
H
Ramos
O L
OL
Pestana
J O
JO
D000017:ABO Blood-Group System; D000328:Adult; D001787:Blood Group Incompatibility; D006084:Graft Rejection; D016027:Heart Transplantation / Q000009:adverse effects; D006801:Humans; D016030:Kidney Transplantation / Q000009:adverse effects; D016031:Liver Transplantation / Q000009:adverse effects; D008297:Male; D016377:Organ Transplantation / Q000009:adverse effects; D014181:Transplantation Immunology
D000017:ABO Blood-Group System
Incompatibilidade ABO em transplante de órgãos. Relato de caso e revisão da literatura.