title: [Aortic valve surgery in a patient with cold agglutinin disease; effectiveness of continuous retrograde cardioplegia].
abstract: A 76-year-old female was hospitalized because of congestive heart failure and anemia. A thorough examination led to a diagnosis of severe aortic stenosis and cold agglutinin disease. The critical temperature for hemagglutination was 27 °C, which caused particular problems with regard to the myocardial protection temperature during surgery. Aortic valve replacement was performed safely by increasing the normal myocardial protection temperature from 15 °C to 32 °C and using 3 times the normal volume of cardioplagic fluid. As a result of strict perioperative thermal management, the operation was completed without any complications.
authors: Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan.
authors: Yasuko
authors: Y
authors: Miyaki
authors: Nobuyuki
authors: N
authors: Takagi
authors: Takeo
authors: T
authors: Hasegawa
authors: Naomi
authors: N
authors: Yasuda
authors: Tomohiro
authors: T
authors: Nakajima
authors: Kazutoshi
authors: K
authors: Tachibana
authors: Tetsuya
authors: T
authors: Higami
mesh_terms: D000368:Aged; D000744:Anemia, Hemolytic, Autoimmune / Q000150:complications*; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery; D005260:Female; D006324:Heart Arrest, Induced / Q000379:methods*; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation; D006801:Humans