Myocardial protection with cold cardioplegia in a patient with cold autoagglutinins and hemolysins.
A technique is described for providing myocardial protection with cold potassium crystalloid cardioplegia in a patient with cold autoagglutinins and hemolysins. The patient was only mildly cooled systemically. The coronary system was perfused with a normothermic cardioplegic solution to remove the blood before the cold cardioplegia was started. The heart was rewarmed with a normothermic cardioplegic solution before the blood was reintroduced. With this technique, the patient underwent an uneventful coronary bypass operation.
D000368:Aged; D000744:Anemia, Hemolytic, Autoimmune / Q000150:complications*; D001026:Coronary Artery Bypass; D006324:Heart Arrest, Induced; D006460:Hemolysin Proteins; D006801:Humans; D007552:Isotonic Solutions / Q000627:therapeutic use; D008297:Male; D011188:Potassium / Q000627:therapeutic use; D017680:Potassium Compounds
D006460:Hemolysin Proteins; D007552:Isotonic Solutions; D017680:Potassium Compounds; C018369:potassium cardioplegic solution; D011188:Potassium