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Azarfarin R et al. - The following case report is a 59 yrs old man with an "A2B" negative blood group who underwent CABG under hypothermic CPB (28C, using cold cardioplegia 4C). Following induction, the anesthesiologist drew three units of patient’s own blood (1200cc) and replaced it with the same volume of colloid solution (Acute Normovolemic Hemodilution-ANH). With the use of the ANH technique, the patient was successfully managed during hypothermic CPB without the risk of a hemolytic reaction.

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