K. Takeuchi et al., DELAYED HEMOLYTIC TRANSFUSION REACTION WITH ANTI-JK(B) ERYTHROCYTE ANTIBODY AFTER OPEN-HEART-SURGERY, The thoracic and cardiovascular surgeon, 41(2), 1993, pp. 104-106
A patient suffering from delayed hemolytic transfusion reaction with a
nti-Jk(b) erythrocyte antibody after open heart surgery is reported on
. On preoperation evaluation, a 42-year-old woman who had never been t
ransfused exhibited a negative erythrocyte autoantibody. After the ope
ration of aortic valve replacement and open mitral commisurotomy, she
developed a severe hemolytic anemia with a positive rare anti-Jk(b) er
ythrocyte antibody on the 14th postoperative day. Precautions are disc
ussed which need to be taken to distnguish delayed hemolytic transfusi
on reaction from mechanical hemolysis caused by extracorporeal circula
tion and prostheses.