Leukocytosis caused by tropical splenomegaly during cardiopulmonary bypass.
We describe two patients undergoing cardiac surgery under cardiopulmonary bypass with concomitant enlarged tropical spleen. Volume overload and leukocytosis occurred during pump management. In the first patient this resulted in acute lung injury, but in the second case methods to reduce the impact of leukocytosis were taken, resulting in a normal postoperative course.
Department of Anaesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India. ptewari123@yahoo.co.in
Prabhat
P
Tewari
Pramod
P
Mittal
Shiv B
SB
Singh
D000328:Adult; D002315:Cardiopulmonary Bypass / Q000009:adverse effects*; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications / Q000601:surgery*; D006801:Humans; D007964:Leukocytosis / Q000150:complications* / Q000469:parasitology / Q000628:therapy; D008288:Malaria / Q000150:complications* / Q000469:parasitology; D008297:Male; D012128:Respiratory Distress Syndrome / Q000209:etiology* / Q000469:parasitology / Q000628:therapy; D013163:Splenomegaly / Q000150:complications* / Q000469:parasitology / Q000628:therapy; D016896:Treatment Outcome