title: Cardiac surgery in a patient with immunological thrombocytopenic purpura: complications and precautions.
abstract: Immune thrombocytopenic purpura (ITP) patients are at high-risk for bleeding complications during and after cardiac surgeries involving cardiopulmonary bypass. We report a patient with ITP with severe coronary artery disease and mitral valve regurgitation who underwent uncomplicated coronary artery bypass grafting and mitral valve replacement. Three weeks later, the patient was readmitted in a very low general condition with signs of pericardial tamponade. We describe our experience of managing the case.
authors.affiliation: Department of Cardiac Anaesthesiology, Care Hospital, Bhubaneswar, Odisha, India.
authors.forename: Vivek
authors.initials: V
authors.lastname: Chowdhry
authors.forename: B B
authors.initials: BB
authors.lastname: Mohanty
authors.forename: Dash
authors.initials: D
authors.lastname: Probodh
mesh_terms: D001026:Coronary Artery Bypass / Q000009:adverse effects*; D006801:Humans; D019934:International Normalized Ratio; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications*