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KMID : 1094020170340050356
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Journal of Veterinary Clinics
2017 Volume.34 No. 5 p.356 ~ p.358
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Transfusion-associated Circulatory Overload after Rapid Whole Blood Transfusion in a Dog
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Kang Seong-Woo
Kim Hyun-Woo
Bae Jun-Woo
Kim Woo-Sun
Ahn Soo-Min
Yang Ha-Young
Lee Sang-Kwon
Choi Ji-Hye
Chae Joon-Seok
Park Bae-Keun
Kim Hyeon-Cheol
Choi Kyoung-Seong
Park Jin-Ho
Kim Su-Hee
Do Yoon-Jung
Yoo Jae-Gyu
Yu Do-Hyeon
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Abstract
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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.
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KEYWORD
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blood transfusion, transfusion reaction, TACO, hypertension, dyspnea
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