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Mitral valve replacement in a patient with idiopathic thrombocytopenic purpura

Authors
  • Oba, Jun’ichi1
  • Aoki, Hidetoshi1
  • Yoshida, Toshihito1
  • Kanaoka, Tsuyoshi1
  • Oe, Kiminori1
  • 1 Asahikawa City Hospital, Department of Cardiothoracic Surgery, 1-1-65 Kinseicho, Hokkaido, 070-8610, Japan , Hokkaido
Type
Published Article
Journal
The Japanese Journal of Thoracic and Cardiovascular Surgery
Publisher
Springer-Verlag
Publication Date
Feb 01, 2000
Volume
48
Issue
2
Pages
129–131
Identifiers
DOI: 10.1007/BF03218107
Source
Springer Nature
Keywords
License
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Abstract

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 50000/μl to 80000/μl. 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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