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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Oba, J., Aoki, H., Yoshida, T. et al. Mitral valve replacement in a patient with idiopathic thrombocytopenic purpura. Jpn J Thorac Caridovasc Surg 48, 129–131 (2000). https://doi.org/10.1007/BF03218107
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DOI: https://doi.org/10.1007/BF03218107