Aortic valve replacement in a patient with idiopathic thrombocytopenic purpura.
A patient with aortic regurgitation and idiopathic thrombocytopenic purpura underwent a successful valve replacement. Cardiac surgery requiring a cardiopulmonary bypass in idiopathic thrombocytopenic purpura can be safely carried out with the preoperative intravenous administration of high-dose gammaglobulin, which may thereby reduce the need for either perioperative transfusion or prophylactic splenectomy.
Kumamoto
T
T
Department of Cardiovascular Surgery, Shizuoka Red Cross Hospital, Japan.
Higashi
S
S
Sumida
T
T
D001021:Aortic Valve / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications*; D005719:gamma-Globulins / Q000008:administration & dosage
D005719:gamma-Globulins