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Perioperative management of a patient with Werlhof disease undergoing myocardial revascularization
M Gaudino1, N Luciani, F L Piancone
1Department of Cardiac Surgery, Catholic University, Rome, Italy.
The Journal of Cardiovascular Surgery
|June 1, 1999
Abstract:
We herein report the case of a patient with idiopathic thrombocytopenic purpura (Werlhof disease) and coronary artery disease undergoing myocardial revascularization. The use of monomeric immunoglobulins, corticosteroids, platelets transfusion, use of a cell saver, normothermic cardiopulmonary bypass, aprotinine and homologous blood transfusion were combined in order to minimize the risk of bleeding complications in the postoperative period.