Open AccessCardiac surgery in a patient with immunological thrombocytopenic purpura: Complications and precautions
Author(s) -
Vivek Chowdhry,
Bipin Bihari Mohanty,
Dash Probodh
Publication year - 2013
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/0971-9784.109774
Subject(s) - medicine , thrombocytopenic purpura , cardiopulmonary bypass , cardiac tamponade , cardiac surgery , artery , tamponade , mitral valve replacement , bypass grafting , surgery , mitral regurgitation , coronary artery disease , cardiology , mitral valve , platelet
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.