A 64-year-old male underwent general anesthesia for a primary coronary artery bypass graft (CABG) of his left anterior descending (LAD) artery using the left internal mammary artery (LIMA). His other medical history is insignificant. Intraoperative cell salvage was used throughout the case, including dissection of the IMA. The procedure itself was uneventful; however, while closing the wound, the autologous blood was reinfused resulting in immediate and profound hypotension (see figure).
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|Allan Klompas, M.B., M.Ch., BAO
Fellow, Transfusion Medicine
|Paula Santrach, M.D.
Consultant, Transfusion Medicine
Associate Professor of Laboratory Medicine and Pathology
Mayo Clinic College of Medicine