title: Perioperative management of a patient with Werlhof disease undergoing myocardial revascularization.
abstract: We herein report the case of a patient with idiopathic thrombocytopenic purpura (Werlhof disease) and coronary artery disease undergoing myocardial revascularization. The use of monomeric immunoglobulins, corticosteroids, platelets transfusion, use of a cell saver, normothermic cardiopulmonary bypass, aprotinine and homologous blood transfusion were combined in order to minimize the risk of bleeding complications in the postoperative period.
authors.affiliation: Department of Cardiac Surgery, Catholic University, Rome, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Gaudino
authors.forename: N
authors.initials: N
authors.lastname: Luciani
authors.forename: F L
authors.initials: FL
authors.lastname: Piancone
authors.forename: P
authors.initials: P
authors.lastname: Bruno
authors.forename: M
authors.initials: M
authors.lastname: Rossi
authors.forename: R
authors.initials: R
authors.lastname: Schiavello
authors.forename: G
authors.initials: G
authors.lastname: Possati
mesh_terms: D000368:Aged; D002315:Cardiopulmonary Bypass; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery*; D005260:Female; D006801:Humans; D009204:Myocardial Revascularization; D010976:Platelet Count; D019106:Postoperative Hemorrhage / Q000517:prevention & control*; D011184:Postoperative Period; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000097:blood / Q000150:complications*