title: A triple challenge: thrombocytopenia in a 7-year-old girl with unrepaired d-transposition of the great arteries, ventricular septal defect, and pulmonary hypertension.
abstract: Thrombocytopenia can be a real challenge during cardiac surgery in children with cyanotic congenital heart disease. This report describes a 7-year-old girl with d-transposition of the great arteries, ventricular septal defect, pulmonary hypertension, chronic thrombocytopenia, polycythemia, and chronic renal impairment. The thrombocytopenia improved several days after splenectomy. The child then underwent a successful arterial switch operation with ventricular septal defect closure.
authors.affiliation: Paediatric Department, Faculty of Medicine, Tanta University, Al Bahr Street, Tanta University Medical Complex, Tanta, Egypt, mbelrem@hotmail.com.
authors.forename: Mohammed
authors.initials: M
authors.lastname: Al-Biltagi
authors.forename: Mohamed F
authors.initials: MF
authors.lastname: Ismail
authors.forename: Osman O
authors.initials: OO
authors.lastname: Al-Radi
authors.forename: Haysam
authors.initials: H
authors.lastname: Baho
mesh_terms: D000015:Abnormalities, Multiple; D006328:Cardiac Catheterization; D006348:Cardiac Surgical Procedures; D002648:Child; D004452:Echocardiography; D005260:Female; D006345:Heart Septal Defects, Ventricular / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006439:Hemodynamics; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology; D013156:Splenectomy; D013921:Thrombocytopenia / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D014188:Transposition of Great Vessels / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology