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Redo without transfusion in a patient with idiopathic thrombocytopenic purpura
1Department of Surgery, Saitama Medical School, Japan.
The Annals of Thoracic Surgery
|May 9, 2000
Abstract:
Mitral valve replacement was able to be carried out at redo operation requiring neither allogeneic platelet nor blood transfusion in a patient with idiopathic thrombocytopenic purpura, by means of preoperative high-dose intravenous gamma-globulin, autologous blood predonation, use of a centrifugal pump, heparin-coated extracorporeal circuits, and simultaneous splenectomy.