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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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Perioperative management of patient with Bombay blood group undergoing mitral valve replacement

Shio Priye1, J Sathyanarayan1, S Shivaprakash1

  • 1Department of Cardiac Anaesthesiology and Department Cardiothoracic Vascular Surgery, Vydehi Institute of Medical Sciences And Research Centre, Bangalore, India.

Indian Journal of Anaesthesia
|February 24, 2016
PubMed

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.

Keywords:
Autologous blood donationBombay blood groupcardiac surgery

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