A patient with blood transfusion-related side effects of a fresh frozen plasma preparation used during ABO blood type-incompatible kidney transplantation

Abstract

　A 62-year-old male, in whom hemodialysis was introduced due to chronic glomerulonephritis, as a primary disease, in 2003, was admitted for kidney transplantation. Surgery was performed. A fresh frozen plasma (FFP) preparation used during surgery may have caused transfusion-related acute lung injury (TRALI), which raises an issue regarding blood transfusion-related side effects. In this patient, ABO blood type-incompatible transplantation was conducted, and a blood preparation was used during surgery. As deterioration of the respiratory state related to this preparation was observed, anesthesia control was required to maintain the transplanted kidney function while performing detailed examination of the etiology and treatment. We report this patient, and review ABO blood type-incompatible kidney transplantation, which may be increasingly performed in the future, and blood transfusion therapy.