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  Vol. 247 No. 2, January 8, 1982 TABLE OF CONTENTS
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The Patient With Multiple Alloantibodies

One Possible Answer to Meeting Blood Needs

Ethel Patten, MD; Vincent Conti, MD

JAMA. 1982;247(2):209.

Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

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 . . . [Full Text PDF of this Article]


Author Affiliations

From the Departments of Internal Medicine (Dr Patten) and Surgery (Dr Conti), The University of Texas Medical Branch at Galveston.


Footnotes

Reprints not available.



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