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Cardiac surgery in a patient with severe thrombocytopenia: How low is too low?


1 Department of Cardiothoracic Surgery, Heart and Lung Centre, Wolverhampton, WV10 0QP, United Kingdom
2 Department of Cardiothoracic Anaesthesiology, Heart and Lung Centre, Wolverhampton, WV10 0QP, United Kingdom

Correspondence Address:
Heyman Luckraz
Heart and Lung Centre Wolverhampton, WV10 0QP
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.114258

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Year : 2013  |  Volume : 16  |  Issue : 3  |  Page : 215-217

 

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Platelets play a very important role in hemostasis, especially after cardiac surgery. Excessive bleeding after such surgery may lead to increased need for transfusion and its incumbent increase in post-operative morbidity and mortality. Although most cardiac surgeons will offer a surgical option to a patient with moderate thrombocytopenia (platelet count around 70 × 10 9 /L), successful cardiac surgery has not been reported in patients with significantly lower platelets counts (less than 40 × 10 9 /L). We report a case of severe thrombocytopenia (19 × 10 9 /L) where coronary artery bypass grafting was performed with minimal blood loss post-operatively, discuss the patient's management and provide insights while dealing with such patients.






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1 Department of Cardiothoracic Surgery, Heart and Lung Centre, Wolverhampton, WV10 0QP, United Kingdom
2 Department of Cardiothoracic Anaesthesiology, Heart and Lung Centre, Wolverhampton, WV10 0QP, United Kingdom

Correspondence Address:
Heyman Luckraz
Heart and Lung Centre Wolverhampton, WV10 0QP
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9784.114258

Rights and Permissions

Platelets play a very important role in hemostasis, especially after cardiac surgery. Excessive bleeding after such surgery may lead to increased need for transfusion and its incumbent increase in post-operative morbidity and mortality. Although most cardiac surgeons will offer a surgical option to a patient with moderate thrombocytopenia (platelet count around 70 × 10 9 /L), successful cardiac surgery has not been reported in patients with significantly lower platelets counts (less than 40 × 10 9 /L). We report a case of severe thrombocytopenia (19 × 10 9 /L) where coronary artery bypass grafting was performed with minimal blood loss post-operatively, discuss the patient's management and provide insights while dealing with such patients.






[FULL TEXT] [PDF]*


        
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