title: Redo cardiac surgery for atrial septal defect in a patient with idiopathic thrombocytopenic purpura. Preoperative management with high-dose intravenous gamma-globulin.
abstract: A 58-year-old woman with idiopathic thrombocytopenic purpura required redo cardiac surgery of atrial septal defect closure, mitral annuloplasty, and tricuspid annuloplasty. Preoperative high-dose intravenous gamma-globulin and platelet transfusion after termination of cardiopulmonary bypass allowed successful redo cardiac surgery. Management of a patient with idiopathic thrombocytopenic purpura undergoing open heart surgery are discussed.
authors.affiliation: Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, Takebayashi, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Nagumo
authors.forename: I
authors.initials: I
authors.lastname: Kiso
authors.forename: R
authors.initials: R
authors.lastname: Takahashi
authors.forename: A
authors.initials: A
authors.lastname: Mori
authors.forename: Y
authors.initials: Y
authors.lastname: Masuda
mesh_terms: D005260:Female; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007262:Infusions, Intravenous; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D011300:Preoperative Care; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000601:surgery*; D012086:Reoperation; D005719:gamma-Globulins / Q000008:administration & dosage*
chemical_list: D005719:gamma-Globulins