title: Mitral valve replacement in a patient with idiopathic thrombocytopenic purpura.
abstract: Reports of a cardiac operation in a patient with idiopathic thrombocytopenic purpura are scarce. Here we present a case of successful mitral valve replacement in a patient with idiopathic thrombocytopenic purpura. Preoperative treatment with high-dosage gamma-globulin successfully increased the platelet count from 50,000/microliter to 80,000/microliter. Twenty units of platelet-rich plasma were administered during and after the operation. No other blood products were used. The postoperative convalescence was uneventful. Perioperative management for patients with idiopathic thrombocytopenic purpura undergoing open-heart surgery is discussed.
authors.affiliation: Department of Cardiothoracic Surgery, Asahikawa City Hospital, Hokkaido, Japan.
authors.forename: J
authors.initials: J
authors.lastname: Oba
authors.forename: H
authors.initials: H
authors.lastname: Aoki
authors.forename: T
authors.initials: T
authors.lastname: Yoshida
authors.forename: T
authors.initials: T
authors.lastname: Kanaoka
authors.forename: K
authors.initials: K
authors.lastname: Oe
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications*; D005719:gamma-Globulins / Q000008:administration & dosage
chemical_list: D005719:gamma-Globulins