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Cardiopulmonary bypass on a patient with malaria

Thomas J Coley

Baxter Perfusion Services, Harrisburg, Pennsylvania, TJColey{at}aol.com

James C Hart

Capital Area Cardiovascular Surgical Institute, Harrisburg, Pennsylvania

There are special considerations when performing cardiopulmonary bypass (CPB) on a patient with malaria. A 70-year-old female with a recent history of severe aortic stenosis was scheduled to undergo elective aortic valve replacement. One week prior to surgery, the patient developed shaking chills and fever, with a positive malaria smear. An extensive literature search was undertaken to determine the effect of CPB on a patient with active malaria, but no prior reference was found. One major concern was the lysis of red blood cells while on bypass. The surgery was performed uneventfully, following 2 weeks of treatment with primaquine phosphate.

Perfusion, Vol. 14, No. 3, 219-221 (1999)
DOI: 10.1177/026765919901400311
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