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Leukocytosis Caused by Tropical Splenomegaly During Cardiopulmonary Bypass

Department of Anaesthesiology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow
¹ Escorts Heart hospital, Faridabad
² Perfusion Department, Department of Cardiothoracic and Vascular surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India

For reprint information contact: Prabhat Tewari, MD Tel: 44 115 969 1169 ext 45637 Fax: 44 115 962 7713 Email: ptewari123{at}yahoo.co.in, Department of Anaesthetics, Nottingham City Hospital, Hucknall Road, Nottingham NG5 1PB, United Kingdom.

We describe two patients undergoing cardiac surgery under cardiopulmonary bypass with concomitant enlarged tropical spleen. Volume overload and leukocytosis occurred during pump management. In the first patient this resulted in acute lung injury, but in the second case methods to reduce the impact of leukocytosis were taken, resulting in a normal postoperative course.