[HSF] A TRALI case

[Ani Anyanwu]

Hal

How old was your patient? By Cox-maze, I presume you mean cut and sew? How many hours post-op did the patient die? Do you routinely do a platelet count or was patient bleeding?

Obviously a very devastating case.

Ani
  ----- Original Message ----- 
  From: Hgrmd at aol.com<mailto:Hgrmd at aol.com> 
  To: OpenHeart-L at lists.hsforum.com<mailto:OpenHeart-L at lists.hsforum.com> 
  Sent: Thursday, March 15, 2007 6:21 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
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