Perioperative management of patient with Bombay blood group undergoing mitral valve replacement

Perioperative management of patient with Bombay blood group undergoing mitral valve replacement

Bombay red blood cell phenotype is an extremely rare blood type for which patients can receive only autologous or Bombay phenotype red blood cells. We report a case of stenotic mitral valve with Bombay phenotype who underwent minimal invasive right lateral thoracotomy for the replacement of the mitr...

Full description

Saved in:
Bibliographic Details
Published in:Indian journal of anaesthesia Vol. 59; no. 12; pp. 811 - 813
Main Authors: Priye, Shio, Sathyanarayan, J, Shivaprakash, S, Reddy, Durgaprasad
Format: Journal Article
Language:English
Published: India Medknow Publications and Media Pvt. Ltd 01-12-2015
Medknow Publications & Media Pvt. Ltd
Medknow Publications & Media Pvt Ltd
Wolters Kluwer Medknow Publications
Subjects:
ABO blood-group system
Antigens
Autologous blood donation
Blood & organ donations
Blood groups
Bombay blood group
cardiac surgery
Case Report
Coronary vessels
Genotype & phenotype
Health aspects
Heart valve replacement
Medical research
Methods
Ostomy
Patients
Perioperative care
Precision medicine
Surgery
Veins & arteries
India
Bombay blood group
cardiac surgery
Autologous blood donation
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Bombay red blood cell phenotype is an extremely rare blood type for which patients can receive only autologous or Bombay phenotype red blood cells. We report a case of stenotic mitral valve with Bombay phenotype who underwent minimal invasive right lateral thoracotomy for the replacement of the mitral valve. A male patient from Bangladesh presented to the hospital with New York Heart Association III symptoms. His medical evaluation revealed severe mitral valve stenosis and mild aortic valve regurgitation. The patient received erythropoietin, intravenous iron succinate and folic acid tablets. Autologous blood transfusion was carried out. The mitral valve was replaced with a prosthetic valve successfully. After weaning off from cardiopulmonary bypass, heparinisation was corrected with protamine. Post-operatively, the patient received autologous red blood cells. The patient recovered after 1-day of inotropic support with adrenaline and milrinone, and diuretics and was discharged on the 5(th) post-operative day.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0019-5049
0976-2817
DOI:10.4103/0019-5049.171577