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Vol.50 (2004) >

Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/153

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Title: A surgical case of aortic valve replacement in patient with chronic idiopathic thrombocytopenic purpura
Other Titles: AVR in the patient with ITP
Authors: Sato, Yoichi
Yokoyama, Hitoshi
Watanabe, Masaaki
Hamada, Osami
Affiliation: 心臓血管外科学講座
Source title: Fukushima Journal of Medical Science
Volume: 50
Issue: 1
Start page: 29
End page: 35
Issue Date: Jun-2004
Abstract: A 64-year-old man was presented to another hospital with bleeding from the upper jaw with a platelet count of 0.1 x 10(4)/microl one year ago, and idiopathic thrombocytopenic purpura complicated with aortic stenosis and regurgitation was diagnosed. Corticosteroid administration was initiated and the patient was admitted to our hospital for surgery two months after confirmation of symptoms associated with cerebral ischemia. Corticosteroid was administered for one year until the day of surgery, and aortic valve replacement was performed with a platelet count of 8.4 x 10(4)/microl. During surgery, bleeding tendency with decreased platelets was confirmed, which was corrected with intraoperative platelet transfusion, postoperative gamma-globulin administration, and postoperative oral corticosteroid administration. Caution must be exercised against perioperative bleeding tendency in open heart surgery, even when platelet count is maintained using small amounts of preoperative corticosteroid.
Publisher: The Fukushima Society of Medical Science
Publisher (Alternative foam): 福島医学会
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/153
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/153/1/FksmJMedSci_50_p29.pdf
ISSN: 0016-2590
PubMed ID: 15536888
Rights: © 2004 The Fukushima Society of Medical Science
Appears in Collections:Vol.50 (2004)

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FksmJMedSci_50_p29.pdf540.16 kBAdobe PDFDownload

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