Cardiopulmonary bypass procedures in patients with cold-reactive hemagglutination. A case report and a literature review.
The use of hypothermia during cardiopulmonary bypass and cardioplegia poses a special problem in patients with cold-reactive hemagglutination. This is a case report of a successful aortic valve replacement on a patient with severe aortic valve stenosis and severely symptomatic cold agglutinin induced hemolytic anemia. This case illustrates the various problems in the perioperative management of these patients. A literature review of these rare cases is provided.
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Department of Cardiothoracic Surgery, New York Hospital, Cornell University Medical College, New York, N.Y. 10021, USA.
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D000368:Aged; D000744:Anemia, Hemolytic, Autoimmune / Q000150:complications*; D001021:Aortic Valve / Q000601:surgery; D001024:Aortic Valve Stenosis / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D005260:Female; D006324:Heart Arrest, Induced; D006350:Heart Valve Prosthesis; D006801:Humans; D007036:Hypothermia, Induced