title: Aortic valve replacement in a patient with idiopathic thrombocytopenic purpura.
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, Shizuoka Red Cross Hospital, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Kumamoto
authors.forename: S
authors.initials: S
authors.lastname: Higashi
authors.forename: T
authors.initials: T
authors.lastname: Sumida
mesh_terms: 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
chemical_list: D005719:gamma-Globulins