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Korean Journal of Anesthesiology 1985;18(1):107-112.
DOI: https://doi.org/10.4097/kjae.1985.18.1.107   
Autommune Hemolytic Anemia Associated with Extracorporeal Circulation.
Suk Min Yoon, Hae Ja Lim, Byung Te Suh
Department of Anesthesiology, Korea University, College of Medicine Guro Hospital, Seoul, Korea.
Abstract
We noted hemoglobinuris during and after extracorporeal circulation for one case of mitral valve replacement. Laboratory results revealed autoimmune hemolytic anemia(AIHA) including a positive direct Coombs test. A patient with AIHA is serologically incompatible with his own red cells and with the red cells of most blood donors. Red cell transfusion is essential for the management of life threatenting anemia especially in this case. So it is essential, therefore, to have efficient clinician blood bank communication in order to arrive at a rational transfusion therapy for these patients.


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