[Atrial septal defect with idiopathic thrombocytopenic purpura: a case of open-heart surgery].
A 40-year-old woman of atrial septal defect associated with idiopathic thrombocytopenic purpura (ITP) was successfully operated upon under cardio-pulmonary bypass. Steroids had been given preoperatively, resulting in an increase of the platelet count from 0.7 X 10(4)/mm3 to 20.6 X 10(4)/mm3. Steroids could be withdrawn before the operation. No bleeding tendency was encountered during and after surgery. This is the 6th case of open-heart surgery associated with ITP in the literature.
Department of Cardiac Surgery, Miyazaki Prefectural Hospital.
M
M
Yamashita
S
S
Kawashima
T
T
Miyazaki
S
S
Nakagawa
M
M
Takenaga
K
K
Arikawa
Y
Y
Morishita
D000328:Adult; D002315:Cardiopulmonary Bypass; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery*; D006801:Humans; D011239:Prednisolone / Q000627:therapeutic use; D011696:Purpura, Thrombocytopenic / Q000150:complications* / Q000188:drug therapy
D011239:Prednisolone