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Ann Thorac Surg 1989;47:57-58
© 1989 The Society of Thoracic Surgeons

Articles

Use of a total wash-out method in an open heart operation

Ming-ChungLee , MD*, Chau-HsiungChang , MD, Ming-JangHsieh , MD

Department of Cardiovascular Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China

Accepted for publication July 19, 1988.

* Address reprint requests to Dr Lee, Department of Cardiovascular Surgery, Chang Gung Memorial Hospital, 199, Tung Hwa North Road, Taipei, Taiwan, Republic of China.

Pathological cold agglutinins may induce hemolysis in patients who need hypothermic cardiopulmonary bypass and blood transfusion. A simple technique, termed the total wash-out method, was used in a patient with high thermal amplitude, moderate-titer cold agglutinin before hypothermic cardiopulmonary bypass. The patients cold agglutinin titer decreased abruptly after operation. None of the preoperative hemolysis phenomena were found during her 6 months of follow-up.




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