Document details

COLD AGGLUTININS AND CARDIAC SURGEY: A CASE REPORT

Author(s): Magro, Pedro ; Marques, Sofia ; Calquinha, José ; Neves, José Pedro

Date: 2021

Origin: Portuguese Journal of Cardiac Thoracic and Vascular Surgery


Description

Cold agglutinins (CA) are autoantibodies whose clinical significance depends upon titer and thermal amplitude. Patients, which undergo cardio-pulmonary bypass and especially hypothermic cardioplegia myocardial protection, represent a challenge regarding operative management, as tissue temperature should be maintained above the threshold of agglutination. We report on a case in which the presence of CA was discovered during elective aortic valve replacement surgery, and managed with normothermic cardiopulmonary bypass and continuous retrograde warm blood cardioplegia administration.

Document Type Journal article
Language English
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