Redo without transfusion in a patient with idiopathic thrombocytopenic purpura.
Mitral valve replacement was able to be carried out at redo operation requiring neither allogeneic platelet nor blood transfusion in a patient with idiopathic thrombocytopenic purpura, by means of preoperative high-dose intravenous gamma-globulin, autologous blood predonation, use of a centrifugal pump, heparin-coated extracorporeal circuits, and simultaneous splenectomy.
Koyanagi
T
T
Department of Surgery, Saitama Medical School, Japan.
Kyo
S
S
Hirooka
E
E
Koyama
I
I
Omoto
R
R
D005112:Extracorporeal Circulation; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000150:complications* / Q000601:surgery*; D017713:Platelet Transfusion; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications* / Q000628:therapy; D012086:Reoperation; D013156:Splenectomy
D016756:Immunoglobulins, Intravenous