What the cardiac surgeons have to know about cold agglutination management | ||||
| The Egyptian Journal of Cardiothoracic Anesthesia | ||||
| Volume 8, Issue 3, September 2014 PDF (137.54 K) | ||||
| DOI: 10.4103/1687-9090.153412 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Mahnoosh Foroughi; Masoud Majidi; Manouchehr Hekmat; Mahmood Beheshti | ||||
| Abstract | ||||
| Cold agglutinin has specific importance in cardiac surgery field due to routine use of the systemic, topical hypothermia in cardiopulmonary bypass and cold cardioplegic solutions (4–12°C). We describe a case of coronary artery bypass in which cold agglutinin was detected intraoperatively; hence, cardiopulmonary bypass and myocardial protection strategies were changed. A simple and not expensive test is introduced to screen these patients before operation, as screening is not routine before cardiac surgery in many heart centers. In addition, we provide a literature review for surgical consideration and highlight some important concerns that need to be addressed. | ||||
| Keywords | ||||
| Cardiopulmonary bypass; cold agglutinin; Hemolysis; Hypothermia | ||||
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