PATIENTS with multiple alloantibodies pose a problem when they require transfusions. Blood may be obtained from a rare donor file if the specificities of the antibodies are known. Under certain circumstances the recipient may be able to serve as his own donor. We describe here a patient who, because of traumatic cardiac hemolytic anemia, was not a candidate for autologous transfusion and had only one available compatible donor. Ten units of blood were collected from this donor during a 17-week period so that the patient might have her dysfunctional aortic valve prosthesis replaced.
Report of a Case
The patient, a 32-year-old woman, gravida 2, para 2, underwent aortic valve replacement with a cloth-covered Starr-Edwards prosthesis in 1974 for acute bacterial endocarditis. During the surgery she received 5 units of whole blood. She was transfused again in 1976 (3 units of RBCs) and in 1978 (4 units of RBCs) for anemia
Patten E, Conti V. The Patient With Multiple Alloantibodies: One Possible Answer to Meeting Blood Needs. JAMA. 1982;247(2):209. doi:10.1001/jama.1982.03320270047024
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