Indian Journal of Anaesthesia

CASE REPORT
Year
: 2015  |  Volume : 59  |  Issue : 12  |  Page : 811--813

Perioperative management of patient with Bombay blood group undergoing mitral valve replacement


Shio Priye, J Sathyanarayan, S Shivaprakash, Durgaprasad Reddy 
 Department of Cardiac Anaesthesiology and Department Cardiothoracic Vascular Surgery, Vydehi Institute of Medical Sciences And Research Centre, Bangalore, India

Correspondence Address:
Shio Priye
Department of Cardiac Anaesthesiology, #82, EPIP Area, Whitefield, Bengaluru - 560066, Karnataka
India

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.


How to cite this article:
Priye S, Sathyanarayan J, Shivaprakash S, Reddy D. Perioperative management of patient with Bombay blood group undergoing mitral valve replacement.Indian J Anaesth 2015;59:811-813


How to cite this URL:
Priye S, Sathyanarayan J, Shivaprakash S, Reddy D. Perioperative management of patient with Bombay blood group undergoing mitral valve replacement. Indian J Anaesth [serial online] 2015 [cited 2020 Nov 25 ];59:811-813
Available from: https://www.ijaweb.org/article.asp?issn=0019-5049;year=2015;volume=59;issue=12;spage=811;epage=813;aulast=Priye;type=0