TECHNICAL NOTES  CARDIAC PAPERS 

The Journal of Cardiovascular Surgery 1999 August;40(4):549-52

Copyright © 2000 EDIZIONI MINERVA MEDICA

lingua: Inglese

Redo cardiac surgery for atrial septal defect in a patient with idiopathic thrombocytopenic purpura. Preoperative management with high-dose intravenous gamma-globulin

Nagumo M., Kiso I., Takahashi R., Mori A., Masuda Y.

From the Department of Cardiovascular Surgery, and Department of Internal Medicine, Saiseikai Utsunomiya Hospital, Takebayashi, Utsunomiya, Japan

A 58-­year-old wom­an ­with idiopath­ic throm­bo­cy­to­pen­ic pur­pu­ra ­required ­redo car­diac sur­gery of atri­al sep­tal ­defect clo­sure, ­mitral annu­lo­plas­ty, and tri­cus­pid annu­lo­plas­ty. Preoperative ­high-­dose intra­ve­nous gam­ma-glob­u­lin and plate­let trans­fu­sion ­after ter­mi­na­tion of car­di­o­pul­mo­nary ­bypass ­allowed suc­cess­ful ­redo car­diac sur­gery. Management of a ­patient ­with idiopath­ic throm­bo­cy­to­pen­ic pur­pu­ra under­go­ing ­open ­heart sur­gery are dis­cussed.