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Hemostatic Management of Severe Thrombocytopenia in a Patient Undergoing Pulmonic Valve Replacement

Kenichi A Tanaka1, Pulsar Li, Stephen M McHugh

  • 1From the *Department of Anesthesiology, University of Maryland Medical Center, Baltimore, Maryland; and †Department of Anesthesiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

A & a Case Reports
|July 1, 2015
PubMed

Perioperative management of thrombocytopenia is often focused on platelet transfusion. However, there are thrombocytopenic cases that are refractory to platelet transfusion as a result of immune response or consumptive coagulopathy. Acuity of the disease may necessitate an invasive procedure despite a grossly abnormal platelet count. We describe a case of severe thrombocytopenia refractory to platelet transfusion and hemostatic management after an urgent pulmonary valve replacement and pulmonary embolectomy.

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