Use of retrograde cold crystalloid cardioplegia in a patient with unexpected cold agglutination.
case_report · Level V
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Abstract
Undetected cold agglutinins were encountered in a patient undergoing coronary artery bypass grafting using antegrade cold blood cardioplegia. Macroemboli were infused into the coronary arterial tree. These were flushed out by the use of retrograde cold crystalloid cardioplegia. Activated cold agglutinins may be hazardous in cold blood cardioplegia.
Medical subject headings
- Anemia, Hemolytic, Autoimmune
- Cardioplegic Solutions
- Cold Temperature
- Heart Arrest, Induced