title: Redo without transfusion in a patient with idiopathic thrombocytopenic purpura.
abstract: 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.
authors.affiliation: Department of Surgery, Saitama Medical School, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Koyanagi
authors.forename: S
authors.initials: S
authors.lastname: Kyo
authors.forename: E
authors.initials: E
authors.lastname: Hirooka
authors.forename: I
authors.initials: I
authors.lastname: Koyama
authors.forename: R
authors.initials: R
authors.lastname: Omoto
mesh_terms: 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
chemical_list: D016756:Immunoglobulins, Intravenous