Mitral valve replacement in a patient with idiopathic thrombocytopenic purpura.

被引:0
|
作者
Oba J. [1 ]
Aoki H. [1 ]
Yoshida T. [1 ]
Kanaoka T. [1 ]
Oe K. [1 ]
机构
[1] Department of Cardiothoracic Surgery, Asahikawa City Hospital, Hokkaido
关键词
idiopathic thrombocytopenic purpura (ITP); gamma-globulin; platelet-rich plasma; mitral valve replacement;
D O I
10.1007/BF03218107
中图分类号
学科分类号
摘要
Reports of a cardiac operation in a patient with idiopathic thrombocytopenic purpura are scarce. Here we present a case of successful mitral valve replacement in a patient with idiopathic thrombocytopenic purpura. Preoperative treatment with high-dosage gamma-globulin successfully increased the platelet count from 50,000/microliter to 80,000/microliter. Twenty units of platelet-rich plasma were administered during and after the operation. No other blood products were used. The postoperative convalescence was uneventful. Perioperative management for patients with idiopathic thrombocytopenic purpura undergoing open-heart surgery is discussed.
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页码:129 / 131
页数:2
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