Use of retrograde cold crystalloid cardioplegia in a patient with unexpected cold agglutination.
Undetected cold agglutinins were encountered in a patient undergoing coronary artery bypass grafting using antegrade cold blood cardioplegia. Macroemboli were infused into the coronary arterial tree. These were flushed out by the use of retrograde cold crystalloid cardioplegia. Activated cold agglutinins may be hazardous in cold blood cardioplegia.
Izzat
M B
MB
Department of Cardiothoracic Surgery, Northern General Hospital, Sheffield, United Kingdom.
Rajesh
P B
PB
Smith
G H
GH
D000744:Anemia, Hemolytic, Autoimmune / Q000209:etiology* / Q000276:immunology; D000906:Antibodies / Q000032:analysis; D002314:Cardioplegic Solutions / Q000009:adverse effects*; D003080:Cold Temperature / Q000009:adverse effects*; D001026:Coronary Artery Bypass / Q000379:methods; D005260:Female; D006324:Heart Arrest, Induced / Q000379:methods*; D006801:Humans; D008875:Middle Aged
D000906:Antibodies; D002314:Cardioplegic Solutions