Anesthesia for Open Heart Surgery in Patient with Cold Agglutinin.
10.4097/kjae.1991.24.3.690
- Author:
Mi Ae SHUR
1
;
Hee Soon KIM
;
Sung Jin HONG
;
Jong Ho LEE
;
Dong Suk CHUNG
;
Se Ho MOON
Author Information
1. Department of Anesthesiology, Catholic University Medical College, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Cold agglutinin;
Cardiopulmonary bypass;
Hypothermia
- MeSH:
Agglutination;
Agglutinins;
Anesthesia*;
Antibodies;
Cardiopulmonary Bypass;
Erythrocytes;
Heart*;
Hemoglobinuria;
Hemolysis;
Humans;
Hypothermia;
Mitral Valve;
Plasmapheresis;
Thoracic Surgery*
- From:Korean Journal of Anesthesiology
1991;24(3):690-692
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cold agglutinins are serum antibodies activated at low temperature to produce red blood cell agglutination and hemolysis. Hypothermic cardiopulmonary bypass has potential danger to patient with positive cold agglutinin titer. We report a successful anesthesia for mitral valve replacement surgery in a patient who has high cold agglutinin titer. To avoid problem, the cold agglutinin titer was reduced by plasmapheresis and hypothermia was maintained above the critical temperature. There was no severe complication except mild hemoglobinuria.
