Literature DB >> 30250347

Asanguinous Del Nido Cardioplegia for an Aortic Valve Replacement Patient with Cold Agglutinins.

Michael Rosenbloom1, Michael Hancock1, Perry Weinstock1, Allyson Paterek1, Richard Highbloom1, Frank Bowen1, Kinjal Patel1.   

Abstract

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.

Entities:  

Keywords:  CPB; CPB complications; CPB pathophysiology; Del Nido; aortic valve replacement; cardioplegia; cardiopulmonary bypass; cold agglutinins; inflammatory response; myocardial protection

Mesh:

Substances:

Year:  2018        PMID: 30250347      PMCID: PMC6146281     

Source DB:  PubMed          Journal:  J Extra Corpor Technol        ISSN: 0022-1058


  7 in total

Review 1.  del Nido cardioplegia in adult cardiac surgery - scopes and concerns.

Authors:  George Jose Valooran; Shiv Kumar Nair; Krishnan Chandrasekharan; Rahul Simon; Cyril Dominic
Journal:  Perfusion       Date:  2015-10-07       Impact factor: 1.972

2.  Management of cold agglutinemia with intermittent warm blood cardioplegia and normothermia.

Authors:  G Mastrogiovanni; P Masiello; S Iesu; I Senese; G Di Benedetto
Journal:  Ann Thorac Surg       Date:  1996-07       Impact factor: 4.330

3.  Case 6--1993. Cardiopulmonary bypass in two patients with previously undetected cold agglutinins.

Authors:  C A Bracken; M A Gurkowski; J J Naples; H Smith; A Steinmann; J Samuel; F R Strickler; J VanDenburgh; F Sheikh; P Lumb
Journal:  J Cardiothorac Vasc Anesth       Date:  1993-12       Impact factor: 2.628

4.  Propensity Matched Analysis of del Nido Cardioplegia in Adult Coronary Artery Bypass Grafting: Initial Experience With 100 Consecutive Patients.

Authors:  Tomasz Timek; Charles Willekes; Olivia Hulme; Ben Himelhoch; Daniel Nadeau; Andrew Borgman; Jeff Clousing; Dick Kanten; Joe Wagner
Journal:  Ann Thorac Surg       Date:  2016-03-24       Impact factor: 4.330

5.  Cold agglutinin disease detected during open heart surgery.

Authors:  Apra Kalra; Kuldeep Singh; Manoranjan Sahoo; T S Mahant
Journal:  Indian J Hematol Blood Transfus       Date:  2012-10-25       Impact factor: 0.900

6.  Open heart surgery in patients with cold-reactive proteins.

Authors:  D M Shahian; S R Wallach; M M Bern
Journal:  Surg Clin North Am       Date:  1985-04       Impact factor: 2.741

7.  Cold agglutinins in patients undergoing cardiac surgery requiring cardiopulmonary bypass.

Authors:  David W Barbara; William J Mauermann; James R Neal; Martin D Abel; Hartzell V Schaff; Jeffrey L Winters
Journal:  J Thorac Cardiovasc Surg       Date:  2013-04-13       Impact factor: 5.209

  7 in total

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