Abstract

Bombay blood type, found in approximately 1 in 10,000 individuals in India and even less globally, complicates the process of obtaining compatible blood products. For patients undergoing cardiac surgery, preoperative planning and effective management strategies involve early identification of the blood type, coordination with blood banks for pre-surgical stockpiling, and establishing protocols for rapid access to compatible blood in emergencies. We present a case report of patient with Ruptured sinus of valsalva opening into right atrium with large ostium secundum atrial septal defect with Bombay blood group. Intraoperatively with the technique of acute normovolemic hemodilution, auto transfusion done to maintain hematocrit. RSOV closure with ASD closure done with minimal blood loss. Postoperatively patient hematological changes were monitored. Patient extubated on POD-1 with mild ionotropic support and diuretics, discharged on POD-7 under stable condition.