Use of a total wash-out method in an open heart operation.
Pathological cold agglutinins may induce hemolysis in patients who need hypothermic cardiopulmonary bypass and blood transfusion. A simple technique, termed the total wash-out method, was used in a patient with high thermal amplitude, moderate-titer cold agglutinin before hypothermic cardiopulmonary bypass. The patient's cold agglutinin titer decreased abruptly after operation. None of the preoperative hemolysis phenomena were found during her 6 months of follow-up.
Lee
M C
MC
Department of Cardiovascular Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
Chang
C H
CH
Hsieh
M J
MJ
D000373:Agglutinins / Q000032:analysis; D006328:Cardiac Catheterization; D002315:Cardiopulmonary Bypass / Q000379:methods*; D002648:Child; D003450:Cryoglobulins; D005260:Female; D006324:Heart Arrest, Induced / Q000379:methods*; D006345:Heart Septal Defects, Ventricular / Q000601:surgery*; D006461:Hemolysis; D006801:Humans; D007552:Isotonic Solutions / Q000008:administration & dosage; D000077331:Ringer's Solution; D007507:Therapeutic Irrigation
D000373:Agglutinins; D003450:Cryoglobulins; D007552:Isotonic Solutions; C029443:cold agglutinins; D000077331:Ringer's Solution