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예기치 않은 cold agglutinin disease 환자의 개심술 마취 (증례)

Other Titles
 Anesthesia for cardiac surgery in a patient wiith unsuspected cold agglutinin disease 
Authors
 박성용  ;  심연희  ;  곽영란  ;  홍용우  ;  이용경 
Citation
 Journal of Korean Society of Anesthesiologist (대한마취과학회지), Vol.39(6) : 905-908, 2000 
Journal Title
Journal of Korean Society of Anesthesiologist(대한마취과학회지)
ISSN
 0302-5780 
Issue Date
2000
Keywords
Heart ; cardiopulmonary bypass ; cold cardioplegia ; hypothemia ; normothermic cardioplegia ; Immunology ; cold agglutinin
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.
Files in This Item:
T200003243.pdf Download
DOI
10.4097/kjae.2000.39.6.905
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
Yonsei Authors
Kwak, Young Lan(곽영란) ORCID logo https://orcid.org/0000-0002-2984-9927
Shim, Yon Hee(심연희) ORCID logo https://orcid.org/0000-0003-1921-3391
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/172072
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