Aortic valve replacement and splenectomy in a patient with chronic idiopathic thrombocytopenic purpura—preoperative management with high-dose γ-globulin View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1991-06

AUTHORS

Yoshiaki Mori, Tetsuo Hadama, Hidemi Takasaki, Keiji Oka, Osamu Shigemitsu, Shinji Miyamoto, Tatsunori Kimura, Hirofumi Anai, Kouichi Tanaka, Yuzo Uchida, Joji Shirabe

ABSTRACT

We report the management of a patient with chronic idiopathic thrombocytopenic purpura and severe aortic valvular disease. Preoperative intravenous high-dose gamma-globulin administration was employed, and aortic valve replacement combined with splenectomy were performed during the same operation. The platelet count at admission was 34,000/mm3 and increased to 146,000/mm3 after the gamma-globulin therapy. Platelet transfusion at the end of the cardiopulmonary bypass was considered no longer necessary in the postoperative period, because the platelet count increased quickly after the procedure. The postoperative course was uneventful. We believe that open heart surgery and splenectomy can successfully be performed simultaneously in a patient with chronic idiopathic thrombocytopenic purpura treated with high-dose gamma-globulin therapy. More... »

PAGES

121-124

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf02058760

DOI

http://dx.doi.org/10.1007/bf02058760

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1002792966

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/1712769


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