Narciso H R, Bordin J O, Silva Júnior H T, Ajzen H, Ramos O L, Pestana J O
Hosp. São Paulo da Esc. Paul. de Med.
Rev Assoc Med Bras (1992). 1992 Apr-Jun;38(2):101-5.
One case of a multiple organs donor that resulted in kidney and heart transplants with inadvertent ABO incompatibility is described. The renal recipients showed the presence of high anti A antibodies titers. The reviewed publications have revealed that the preparation of the receptor with plasmapheresis and splenectomy, before the transplantation may prevent the hyperacute rejection on ABO incompatible organs allografts. In emergency situations, liver transplantation is accepted with ABO incompatible donor without previous treatment.
本文描述了一例多器官供体的情况，该供体导致了肾和心脏移植，且存在意外的ABO血型不相容。肾移植受者显示出高滴度的抗A抗体。综述的文献表明，在移植前对受体进行血浆置换和脾切除术可能会预防ABO血型不相容器官同种异体移植的超急性排斥反应。在紧急情况下，未经预先治疗接受ABO血型不相容供体的肝移植也是可行的。
