[HSF] A TRALI case

[hgrmd at aol.com]

Ben,
  The platelet count was quite low intraop.  That's the reason I gave it.  In retrospect, I wished I had not.
Hal 
 
-----Original Message-----
From: benjamin.bidstrup at bigpond.com
To: OpenHeart-L at lists.hsforum.com
Sent: Thu, 15 Mar 2007 6:41 AM
Subject: Re: [HSF] A TRALI case


>Mark and Prasanna, 
> Thanks for your input. Like you, Mark, I had a very similar case after an 
>uneventful minimally invasive ASD closure and Cox-maze. The patient got 
>some platelets intraop. The postop TEE looked perfect, and he came >off easily. >However, prior to transfer to CVICU, he started emitting large amounts of 
>thin bloody fluid from ET tube. This was in spite of a normal TEE with an EF 
>of 60%. He became progressively hypoxic and ultimately died hours postop. >Even though I live in South Florida, I pushed for an autopsy. The suture 
>lines were perfect. The lungs had intense PMN infiltration consistent with a 
>severe transfusion reaction. I don't remember the pathologist >saying TRALI, but 
>I assume that's what it was. 
>Hal 
 
Why give platelets intra-operatively? 
-- Ben Bidstrup FRACS FRCSEd FEBCTS 
Consultant Cardiothoracic Surgeon 
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