Cardiopulmonary Bypass in the Setting of Waldenström's Macroglobulinemia.
J Extra Corpor Technol
; 50(2): 120-123, 2018 06.
Article
en En
| MEDLINE
| ID: mdl-29921992
Waldenström's Macroglobulinemia (WM) is a rare lymphoma caused by the overproduction of immunoglobulin M (IgM). The elevated level of IgM causes serum hyperviscosity, cold agglutinins, and cryoglobulinemia. Anemia is also present because of impaired production of erythrocytes. For these reasons, placing a patient with WM on cardiopulmonary bypass (CPB) requires careful preparation. In this case, the patient was a 73-year-old male with known Waldenström's disease who required coronary artery bypass graft surgery. This report details the perioperative considerations used for successful CPB on a Waldenström's patient. Critical to this case was the use of plasmapheresis before surgery. Temperature management and acid/base status were carefully controlled. A successful coronary revascularization surgery was performed. Many of the Wadenstrom's disease complications expected on CPB failed to materialize.
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Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Puente Cardiopulmonar
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Puente de Arteria Coronaria
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Macroglobulinemia de Waldenström
Límite:
Aged
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Humans
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Male
Idioma:
En
Revista:
J Extra Corpor Technol
Año:
2018
Tipo del documento:
Article