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THE JOURNAL OF CARDIOVASCULAR SURGERY
A Journal on Cardiac, Vascular and Thoracic Surgery
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
CASE REPORTS CARDIAC PAPERS
The Journal of Cardiovascular Surgery 1999 April;40(2):227-8
Perioperative management of a patient with Werlhof disease undergoing myocardial revascularization
Gaudino M., Luciani N., Piancone F. L., Bruno P., Rossi M. *, Schiavello R. *, Possati G.
From the Department of Cardiac Surgery and * Anaesthesiology Catholic University, Rome, Italy
We herein report the case of a patient with idiopathic thrombocytopenic purpura (Werlhof disease) and coronary artery disease undergoing myocardial revascularization. The use of monomeric immunoglobulins, corticosteroids, platelets transfusion, use of a cell saver, normothermic cardiopulmonary bypass, aprotinine and homologous blood transfusion were combined in order to minimize the risk of bleeding complications in the postoperative period.