title: Anti-Jkb delayed hemolytic transfusion reaction after coronary bypass surgery.
abstract: Delayed hemolytic transfusion reaction occurred in a 74-year-old woman after coronary bypass. Antibodies were not detected during preoperative screening but did appear late after exposure to Jkb-positive red blood cells, probably as an anamnestic response to previous exposure during childbirth or remote transfusion. The incidence, pathophysiology, clinical presentation, diagnosis, and management of this syndrome are discussed.
authors.affiliation: Department of Cardiothoracic Surgery, Lahey Clinic, Burlington, MA 01805, USA.
authors.forename: D M
authors.initials: DM
authors.lastname: Shahian
authors.forename: N J
authors.initials: NJ
authors.lastname: Weiner
authors.forename: S R
authors.initials: SR
authors.lastname: Kurtz
mesh_terms: D000368:Aged; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D017707:Erythrocyte Transfusion / Q000009:adverse effects*; D004912:Erythrocytes / Q000276:immunology; D005260:Female; D006461:Hemolysis; D006801:Humans; D007518:Isoantibodies / Q000097:blood*; D007667:Kidd Blood-Group System / Q000276:immunology*; D011183:Postoperative Complications
chemical_list: D007518:Isoantibodies; D007667:Kidd Blood-Group System