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Rev Port Cir Cardiotorac Vasc. 2019 Jul-Sep;26(3):223-224
Authors: Magro PL, Marques S, Calquinha J, Neves JP
Abstract
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.
PMID: 31734976 [PubMed - indexed for MEDLINE]
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