CASE REPORT
Year : 2014  |  Volume : 8  |  Issue : 3  |  Page : 101-103

What the cardiac surgeons have to know about cold agglutination management


Department of Cardiac Surgery, Cardiovascular Research Center, Shahid Beheshti Universty of Medical Sciences, Tehran, Iran

Correspondence Address:
Mahnoosh Foroughi
Department of Cardiac Surgery, Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Modarres Hospital, Saadat Abad, Tehran 1998734383
Iran
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1687-9090.153412

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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.


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