Korean J Anesthesiol.
2000 Dec;39(6):905-908. 10.4097/kjae.2000.39.6.905.
Anesthesia for Cardiac Surgery in a Patient with Unsuspected Cold Agglutinin Disease
- Affiliations
-
- 1 Department of Anesthesiology, Yonsei Cardiovascular Center and Research Institute, Yonsei University College of Medicine, Seoul, Korea.
- KMID: 2091584
- DOI: http://doi.org/10.4097/kjae.2000.39.6.905
Abstract
- Cold agglutinins are autoantibodies activated at low temperature to produce red blood cell agglutination and hemolysis. Systemic hypothermia and cold cardioplegia which are employed commonly in modern cardiac operations are a potential danger to patients with the cold agglutinin disease. We report a successful use of a continuous warm retrograde delivery of cardioplegia with systemic hypothemia in a patient with cold agglutinin disease detected incidentally. Hemagglutination was found in the cold (4oC) blood cardioplegic circuit before the delivery of the cardioplegic solution. Hemagglutination was not detected in the mixture of blood and the warm cardioplegic solution (36.5oC). Therefore, cold agglutinin disease was suspected. The patient was only mildly cooled systemically. The coronary system was perfused with a normothemic cardioplegic solution. With this technique, the patient underwent an uneventful mitral valve replacement operation.
Keyword
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Anesthesia for Open Heart Surgery in Patient with Cold Agglutinin
- Diagnostic Significance of Cold Agglutinin and Antimycoplasma Antibody for Mycoplasma pneumoniae Infection
- Cardiac Arrest due to Unsuspected pheochromocytoma Presenting during Gastric Polyp Operation
- A Case of Acute Respiratory Distress Syndrome by Nosocomial Mycoplasma Pneumonia Associated with Cold Agglutinin Disease in Primary CNS Lymphoma
- Cold Agglutinin Disease due to Anti-Pr Cold Autoantibody in a Patient with Bone Marrow Transplantation
