Transfusion-associated circulatory overload after rapid whole blood transfusion in a dog

Seongwoo Kang, Hyunwoo Kim, Junwoo Bae, Woosun Kim, Soomin Ahn, Hayoung Yang, Sang Kwon Lee, Jihye Choi, Joon Seok Chae, Bae Keun Park, Hyeon Cheol Kim, Kyoung Seong Choi, Jinho Park, Suhee Kim, Yoonjung Do, Jae Gyu Yoo, Dohyeon Yu

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

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.

Original languageEnglish
Pages (from-to)356-358
Number of pages3
JournalJournal of Veterinary Clinics
Volume34
Issue number5
DOIs
StatePublished - Oct 2017

Keywords

  • Blood transfusion
  • Dyspnea
  • Hypertension
  • TACO
  • Transfusion reaction

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