Redo cardiac surgery for atrial septal defect in a patient with idiopathic thrombocytopenic purpura. Preoperative management with high-dose intravenous gamma-globulin.
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.
Nagumo
M
M
Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, Takebayashi, Japan.
Kiso
I
I
Takahashi
R
R
Mori
A
A
Masuda
Y
Y
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*
D005719:gamma-Globulins