| Issue |
J Extra Corpor Technol
Volume 50, Number 3, September 2018
|
|
|---|---|---|
| Page(s) | 187 - 188 | |
| DOI | https://doi.org/10.1051/ject/201850187 | |
| Published online | 15 September 2018 | |
Case Reports
Asanguinous Del Nido Cardioplegia for an Aortic Valve Replacement Patient with Cold Agglutinins
Address correspondence to: Michael Hancock, CCP, Staff Perfusionist, Department of Perfusion, Cooper University Hospital, 26 Aldridge Way, Sewell, NJ 08080. E-mail: hancock-michael@cooperhealth.edu
Received:
6
December
2017
Accepted:
25
July
2018
A patient with known cold agglutinins requiring an aortic valve replacement was referred for surgery. Asanguinous, Del Nido cardioplegia was used for myocardial protection. Warm induction followed by cold infusion prevented any agglutination and eliminated the need for subsequent cardioplegia doses. Following the cross-clamp period, the heart returned to normal sinus rhythm without need for defibrillation. Postoperative ejection fraction and systolic function were normal.
Key words: aortic valve replacement / cardiopulmonary bypass / CPB / inflammatory response / CPB pathophysiology / CPB complications / myocardial protection / Del Nido / cardioplegia / cold agglutinins
© 2018 AMSECT
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