[Concomitant operation of CABG and splenectomy following high-dose transvenous gamma-globulin therapy in a patient with idiopathic thrombocytopenic purpura--a case report].
A 60-year-old man with effort angina and idiopathic thrombocytopenic purpura (ITP) underwent concomitant operation of coronary artery bypass grafting (CABG) and splenectomy. High-dose transvenous gamma-globulin therapy (400 mg/kg/day) was performed for five days before surgery. The platelet count increased from 1.4 X 10(4)/mm3 to 8.7 X 10(4)/mm3. CABG was performed immediately followed by splenectomy. This is the first case with concomitant operation of cardiac surgery and splenectomy which was safely performed after high-dose transvenous gamma-globulin therapy.
Sato
Y
Y
Second Department of Surgery, Gumna University School of Medicine, Maebashi, Japan.
Ishikawa
S
S
Ootaki
A
A
Ootani
Y
Y
Takahashi
T
T
Morishita
Y
Y
D000787:Angina Pectoris / Q000150:complications / Q000601:surgery*; D001026:Coronary Artery Bypass; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications*; D013156:Splenectomy; D005719:gamma-Globulins / Q000008:administration & dosage*
D005719:gamma-Globulins