Does an allergy to fish pre-empt an adverse protamine reaction? A case report and a literature review

Perfusion

Volumn 23, Issue 6, 2008, Pages 369-372

  Collins, Catherine ^a   O'Donnell, A ^a  

^a University College Cork and INFANT Centre   (Ireland)

Author keywords

[No Author keywords available]

Indexed keywords

BICARBONATE; HEPARIN; MANNITOL; PROTAMINE SULFATE;

ADULT; ARTICLE; CASE REPORT; CLINICAL FEATURE; CORONARY ARTERY BYPASS GRAFT; DOSE RESPONSE; DRUG HYPERSENSITIVITY; DYSPNEA; EXTRACORPOREAL CIRCULATION; FEMALE; FOOD ALLERGY; HUMAN; LOADING DRUG DOSE; PERIOPERATIVE PERIOD; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; REVERSAL REACTION; SURGICAL APPROACH; THORAX PAIN;

ANAPHYLAXIS; CARDIAC SURGICAL PROCEDURES; CARDIOPULMONARY BYPASS; FEMALE; FISH PRODUCTS; HUMANS; MIDDLE AGED; PROTAMINES;

EID: 66249097760     PISSN: 02676591     EISSN: None     Source Type: Journal    
DOI: 10.1177/0267659109105543     Document Type: Article

References (19)

1. Levy JH, Schweiger IM, Zaidan JR. Evaluation of patients at risk for protamine reactions. J Thorac Cariovasc Surg 1989; 98: 200-204.
2. Nybo M, Madsen JS. Serious anaphylactic reactions due to protamine sulfate: A systematic literature review. Basic & Clinical Pharmacology & Toxicology 2008; 103:192-196.
3. Panos A, Orrit X, Chevalley C, Kalangos A. Dramatic post-cardiotomy outcome, due to severe anaphylactic reaction to protamine. Eur J Cardiothorac Surg 2003; 24: 325- 327.
4. Lowenstein E, Johnston WE, Lappas DG. Catastrophic pulmonary vasoconstriction associated with protamine reversal of heparin. Anesthesiology 1983; 59: 470-473.
5. Conzen P, Habazettl H, Gutmann R. Thromboxane mediation of pulmonary hemodynamic responses after neutralization of heparin by protamine in pigs. Anesth Analg 1989; 68: 25-31.
6. Knape JTA, Schuller JL, de Haan P. An anaphylactic reaction to protamine in a patient allergic to fish. Aneasthesiology 1981; 55: 324-325.
7. Kurtz AB, Gray RS, Markanday S, Nabarro JD. Circulating IgG antibody to protamine in patients treated with protamine-insulins. Diabetologia 1983; 25: 322-324.
8. Sharath MD, Metzger WJ, Richerson HB. Protamine-induced fatal anaphylaxis: Prevalence of antiprotamine immunoglobulin E antibody. J Thorac Cardiovasc Surg 1985; 90:86-90.
9. Roelofse JA, van der Bijl P. An anaphylactic reaction to protamine sulphate. Anesth Prog. 1991; 38(3): 99-100.
10. Adourian U, Shampaine EL, Hirshman CA. High-titre protamine specific IgG antibody associated with anaphylaxis: Report of a case and quantitive analysis of antibody in vasectomized men. Anesthesiology 1993; 78: 368-372.
11. Weiss ME, Nyhan D, Peng ZK. Association of protamine IgG and IgE antibodies with life threatening reactions to intravenous protamine. N Engl J Med 1989; 320:886- 892.
12. Vasquez JC, Vichiendilokkul A, Mahmood S, Baciewicz FA. Anticoagulation with bivalirudin during cardiopulmonary bypass in cardiac surgery. Ann Thorac Surg 2002; 74: 2177-2179.
13. Stafford-Smith M, Lefrak EA, Newman MF. Efficacy and safety of heparinase1 versus protamine in patients undergoing coronary artery bypass grafting with and without cardiopulmonary bypass. Anesthesiology 2005; 103(2):229-240.
14. Kikura M, Lee MK, Levy JH. Heparin neutralization with Methylene Blue, Hexadimethrine, or Vancomycin after cardiopulmonary bypass. Anesth Analg 1996; 83: 223-227.
15. John M, Weiler, MD, Melanie, A, et al. A prospective study of the risk of an immediate adverse reaction to protamine sulfate during cardiopulmonary bypass surgery. J Allergy Clin Immunol 1990; 85(4): 713-719.
16. Kimmel SE, Sekeres MA, Berlin JA, Ellison N, DiSesa V, Strom BL. Risk factors for clinically important adverse events after protamine administration following cardiopulmonary bypass. J Am Coll Cardiol 1998; 32: 1916-1922.
17. Kimmel SE, Sekeres MA, Berlin JA, Ellison N. Mortality and adverse events after protamine administration in patients undergoing cardiopulmonary bypass. Anesth Analg 2002; 94:1402-1408.
18. Borowiec J, Thelin S, Bagge L, van der Linden J, Thorno E, Hansson HE. Heparin-coated cardiopulmonary bypass circuits and 25% reduction of heparin dose in coronary artery surgery - a clinical study. Ups J Med Sci 1992; 97 (1): 55-66.
19. Mukadam ME, Pritchard P. Riddlington, D, et al. Management during CPB of patients with presumed fish allergy. Cardiothorac Vasc Anesth 2001; 15 (4): 512-519.