A Case of Off-Pump Coronary Artery Bypass Grafting in a Patient with Idiopathic Thrombocytopenic Purpura / 日本心臓血管外科学会雑誌
Japanese Journal of Cardiovascular Surgery
; : 86-89, 2003.
Artigo
em Japonês
| WPRIM (Pacífico Ocidental)
| ID: wpr-366853
Biblioteca responsável:
WPRO
ABSTRACT
A 63-year-old man with unstable angina and idiopathic thrombocytopenic purpura (ITP) underwent off-pump coronary artery bypass grafting after being admitted to our hospital because of angina pectoris. Coronary angiography performed on admission showed 90% stenosis of the left main coronary artery. High dose transvenous γ globulin therapy was performed for 3 days before surgery. The number of platelets, which was 2.3×10<sup>4</sup>/mm<sup>3</sup> on admission increased to 4.1×10<sup>4</sup>/mm<sup>3</sup> before surgery. Ten units of platelets were transfused intraoperatively, with little perioperative hemorrhage and no increased incidence of bleeding complications. The postoperative course was uneventful. High dose transvenous γ globulin therapy and operation without cardiopulmonary bypass were useful in facilitating the treatment of this ITP coronary artery bypass patient.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Idioma:
Japonês
Revista:
Japanese Journal of Cardiovascular Surgery
Ano de publicação:
2003
Tipo de documento:
Artigo