Document Detail

Coronary artery bypass grafting in chronic immune-mediated thrombocytopenic purpura: preoperative treatment with intravenous immunoglobulin and corticosteroids.
MedLine Citation:
PMID:  8775388     Owner:  NLM     Status:  MEDLINE    
A 64-year-old male with chronic immune-mediated thrombocytopenic purpura (cITP) underwent three-vessel coronary artery bypass grafting after preoperative treatment with steroids and intravenous immunoglobulin with no prophylactic splenectomy performed. On the morning of surgery the platelet count was 110 x 10(3)/mm3, up from an initial 18 x 10(3)/mm3. The patient tolerated the procedure well, with no intraoperative or postoperative complications. This case demonstrates that with appropriate perioperative management, patients with cITP can safely undergo major cardiac surgery.
E P Hofmeister
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Military medicine     Volume:  160     ISSN:  0026-4075     ISO Abbreviation:  Mil Med     Publication Date:  1995 Dec 
Date Detail:
Created Date:  1996-12-04     Completed Date:  1996-12-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2984771R     Medline TA:  Mil Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  624-5     Citation Subset:  IM    
Aviation Medicine, Marine Corps Base Hawaii, Kaneohe, 96744, USA.
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MeSH Terms
Angina Pectoris / complications
Coronary Artery Bypass*
Glucocorticoids / therapeutic use*
Immunoglobulins, Intravenous / therapeutic use*
Middle Aged
Prednisone / therapeutic use*
Purpura, Thrombocytopenic / complications*
Treatment Outcome
Reg. No./Substance:
0/Glucocorticoids; 0/Immunoglobulins, Intravenous; 53-03-2/Prednisone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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