title: Coronary artery bypass grafting in a patient with cryoglobulinemia.
abstract: Coronary artery bypass grafting (CABG) was performed in a patient with cryoglobulinemia. In order to decrease the concentration of cryoglobulin, the patient underwent double filtration plasmapheresis (DFPP) pre- and postoperatively as well as during cardiopulmonary bypass. Bypass surgery was performed under total cardiopulmonary bypass, moderate systemic hypothermia, and ventricular fibrillation without aortic crossclamping. No adverse effects of cryoglobulin appeared during the peri- and postoperative course. Technical considerations for open heart surgery in patients with cryoglobulinemia are described.
authors.affiliation: Department of Cardiac Surgery, Asahi General Hospital, Chiba, Japan.
authors.forename: Y
authors.initials: Y
authors.lastname: Kotsuka
authors.forename: J
authors.initials: J
authors.lastname: Nakajima
authors.forename: T
authors.initials: T
authors.lastname: Miyairi
authors.forename: H
authors.initials: H
authors.lastname: Nakahara
authors.forename: M
authors.initials: M
authors.lastname: Suzuki
authors.forename: J
authors.initials: J
authors.lastname: Kanda
authors.forename: N
authors.initials: N
authors.lastname: Irabu
authors.forename: H
authors.initials: H
authors.lastname: Saito
authors.forename: S
authors.initials: S
authors.lastname: Yoshida
authors.forename: A
authors.initials: A
authors.lastname: Mizuno
mesh_terms: D001831:Body Temperature / Q000502:physiology; D002315:Cardiopulmonary Bypass; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications / Q000601:surgery*; D003449:Cryoglobulinemia / Q000150:complications; D005260:Female; D006801:Humans; D007036:Hypothermia, Induced; D008875:Middle Aged; D010956:Plasmapheresis; D012307:Risk Factors