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The Annals of Thoracic Surgery, Vol 47, 57-58, Copyright © 1989 by The Society of Thoracic Surgeons

ARTICLES

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

MC Lee, CH Chang and MJ Hsieh
Department of Cardiovascular Surgery, Chang Gung Memorial Hospital, 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 patient's 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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