Redo cardiac surgery for atrial septal defect in a patient with idiopathic thrombocytopenic purpura. Preoperative management with high-dose intravenous gamma-globulin
Nagumo, M.; Kiso, I.; Takahashi, R.; Mori, A.; Masuda, Y.
Journal of Cardiovascular Surgery 40(4): 549-552
1999
ISSN/ISBN: 0021-9509 PMID: 10532216 Document Number: 504956
A 58-year-old woman with idiopathic thrombocytopenic purpura required redo cardiac surgery of atrial septal defect closure, mitral annuloplasty, and tricuspid annuloplasty. Preoperative high-dose intravenous gamma-globulin and platelet transfusion after termination of cardiopulmonary bypass allowed successful redo cardiac surgery. Management of a patient with idiopathic thrombocytopenic purpura undergoing open heart surgery are discussed.