Open-heart surgery in a patient with a high oxygen affinity haemoglobin variant.
A man in heart failure with a high oxygen affinity haemoglobin variant (Hb Rainier) underwent a mitral commissurotomy with the aid of cardiopulmonary bypass. Pre-operatively, a total blood exchange transfusion was carried out to prevent potential hypoxic and thrombo-embolic complications. No complications occurred in the postoperative period.
Francina
A
A
Hôpital Edouard Herriot, Lyon.
Chassard
D
D
Baklouti
F
F
George
M
M
Estanove
S
S
D000328:Adult; D002315:Cardiopulmonary Bypass; D005078:Exchange Transfusion, Whole Blood; D006455:Hemoglobins, Abnormal; D006801:Humans; D000860:Hypoxia / Q000517:prevention & control; D007431:Intraoperative Complications / Q000517:prevention & control; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D011300:Preoperative Care; D013923:Thromboembolism / Q000517:prevention & control
D006455:Hemoglobins, Abnormal; C046444:hemoglobin Rainier