Coronary Artery Bypass Grafting (Cabg) in Patients With Immune Thrombocytopenic Purpura (Itp)

Surgical management of tetralogy of fallot with idiopathic thrombocytopenic purpura

“…1 Peroperative platelet therapy has helped to avoid simultaneous splenectomy in some patients. 8,9 Off pump coronary artery bypass grafting appears to be an attractive option when indicated in ITP patients. 10 The patient reported here had severe platelet deficiency.…”

An Anesthetic Management İn A Coronary Bypass Surgery Of A Patient With İdiopathic Trombocytopenic Purpura

“…(4) , kalp cerrahisi geçiren preoperatif trombosit ortalama sayısı 126 x10 3 µL olan ITP'li yaklaşık 50 hasta ile yaptıkları çalışmada hastaların yalnızca % 40'ında trombosit infüzyonuna gereksinim duymuşlardır.…”

“…Çalışan kalpte yapılan kalp cerrahisinde trombosit sayısının daha iyi korunabildiği ve perioperatif kan kaybının daha az olması ile transfüzyon gereksiniminin da azaldığı gösterilmiştir (5) . Kardiyak cerrahi öncesi trombosit sayısında artış sağlamak için splenektomi uygulanması ve çalışan kalpte cerrahi uygulanmasının postoperatif kanamayı azalttığını gösteren yayınlar bulunmaktadır (4,6) .…”

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

“…Table 2]. A pre-operative diagnosis of ITP is present in 0.2% patients [1] while HIT may be present in up to 1% [2] of patients undergoing cardiac surgery. Our patient was diagnosed with a MDS, which can be associated with 5q or 20q deletions.…”

“…Most of the reports in the literature of cardiac surgical procedures in patients with low platelets count have been in the setting of idiopathic thrombocytopenic purpura (ITP) and heparin induced thrombocytopenia (HIT). [1,2] We discuss the management of a patient who was severely thrombocytopenic (platelet count: 19 × 10 9 /L) undergoing coronary artery bypass grafting (CABG). Moreover, the OM2 was rather posterior, and off-pump coronary-artery-bypass (OPCAB) to that vessel was deemed difficult by the operating surgeon, which meant that OPCAB might leave the patient with incomplete revascularization.…”