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Cardiac surgery in a patient with immunological thrombocytopenic purpura: Complications and precautions


1 Department of Cardiac Anaesthesiology, Care Hospital, Bhubaneswar, Odisha, India
2 Department of Cardiac Surgery, Care Hospital, Bhubaneswar, Odisha, India
3 Department of Hematology, Hi-Tech Medical College Hospital, Bhubaneswar, Odisha, India

Correspondence Address:
Vivek Chowdhry
Department of Cardiac Anaesthesiology, Care Hopital, Chandrasekharpur, Bhubaneswar - 751 015, Odisha
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.109774

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Year : 2013  |  Volume : 16  |  Issue : 2  |  Page : 147-150

 

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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.






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1 Department of Cardiac Anaesthesiology, Care Hospital, Bhubaneswar, Odisha, India
2 Department of Cardiac Surgery, Care Hospital, Bhubaneswar, Odisha, India
3 Department of Hematology, Hi-Tech Medical College Hospital, Bhubaneswar, Odisha, India

Correspondence Address:
Vivek Chowdhry
Department of Cardiac Anaesthesiology, Care Hopital, Chandrasekharpur, Bhubaneswar - 751 015, Odisha
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.109774

Rights and Permissions

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.






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