[Bedside pretransfusion compatibility testing fiability with cold agglutinins during cardiopulmonary bypass associated hypothermia for cardiac surgery].
This case report is an example of a bedside pretransfusion compatibility testing issue. An 81-years-old woman was admitted in the operating room for aortic valve replacement under cardiopulmonary bypass. A conflict occurred during the bedside pretransfusion compatibility testing between the results of the patient and the packed red blood cells. Afterwards, the patient was diagnosed with cold agglutinins. It might have produced false positive results with the anti-A and anti-B reagents.
Noll
E
E
Service d'anesthésie, réanimation chirurgicale, Samu-Smur Nouvel Hôpital Civil de Strasbourg, 1, place de l'Hôpital, 67091 Strasbourg cedex, France. eric.noll@chru-strasbourg.fr
Levy
F
F
Waller
C
C
Wiesel
M-L
ML
Steib
A
A
D000369:Aged, 80 and over; D000373:Agglutinins; D001021:Aortic Valve / Q000601:surgery; D001787:Blood Group Incompatibility / Q000175:diagnosis* / Q000276:immunology; D006348:Cardiac Surgical Procedures; D002315:Cardiopulmonary Bypass / Q000379:methods*; D017707:Erythrocyte Transfusion / Q000379:methods*; D005189:False Positive Reactions; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007036:Hypothermia, Induced / Q000379:methods*; D019095:Point-of-Care Systems
D000373:Agglutinins