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http://dx.doi.org/10.17555/jvc.2017.10.34.5.356

Transfusion-associated Circulatory Overload after Rapid Whole Blood Transfusion in a Dog  

Kang, Seongwoo (College of Veterinary Medicine, Chonnam National University)
Kim, Hyunwoo (College of Veterinary Medicine, Chonnam National University)
Bae, Junwoo (College of Veterinary Medicine, Chonnam National University)
Kim, Woosun (College of Veterinary Medicine, Chonnam National University)
Ahn, Soomin (College of Veterinary Medicine, Chonnam National University)
Yang, Hayoung (College of Veterinary Medicine, Chonnam National University)
Lee, Sang-Kwon (College of Veterinary Medicine, Chonnam National University)
Choi, Jihye (College of Veterinary Medicine, Chonnam National University)
Chae, Joon-Seok (Laboratory of Veterinary Internal Medicine, BK21 PLUS Program for Creative Veterinary Science Research, Research Institute for Veterinary Science and College of Veterinary Medicine, Seoul National University)
Park, Bae-Keun (College of Veterinary Medicine, Chungnam National University)
Kim, Hyeon-Cheol (College of Veterinary Medicine, Kangwon National University)
Choi, Kyoung-Seong (College of Ecology and Environmental Science, Kyungpook, National University)
Park, Jinho (College of Veterinary Medicine, Chonbuk National University)
Kim, Suhee (Animal Diseases and Biosecurity Team, National Institute of Animal Science, Rural Development Administration)
Do, Yoonjung (Animal Diseases and Biosecurity Team, National Institute of Animal Science, Rural Development Administration)
Yoo, Jae Gyu (Animal Diseases and Biosecurity Team, National Institute of Animal Science, Rural Development Administration)
Yu, DoHyeon (Institute of Animal Medicine, College of Veterinary Medicine, Gyeongsang National University)
Publication Information
Journal of Veterinary Clinics / v.34, no.5, 2017 , pp. 356-358 More about this Journal
Abstract
A dog (neutered male Schnauzer, 11 years old, 8 kg) presented with recurrence of immune-mediated hemolytic anemia. Rapid whole blood transfusion was initiated, and then sudden tachycardia and dyspnea were observed. Invasive arterial blood pressure, arterial blood gas analysis, and thoracic radiograph indicated transfusion-associated circulatory overload (TACO). Persistent high blood pressure of 160-205 mmHg was observed; the thoracic radiograph revealed interstitial infiltration and a fissure line, which suggested pulmonary edema and pleural effusion. Despite furosemide administration and nasal oxygen supplementation, hypertension and respiratory distress were not completely controlled. Finally, cardiac arrest occurred and the patient expired due to TACO 24 hours after the transfusion.
Keywords
blood transfusion; transfusion reaction; TACO; hypertension; dyspnea;
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