A Case of Off-Pump Coronary Artery Bypass Grafting in a Patient with Idiopathic Thrombocytopenic Purpura.
10.4326/jjcvs.32.86
- VernacularTitle:ＩＴＰ合併ＬＭＴ病変を有するＡＰ患者にｏｆｆ‐ｐｕｍｐ ＣＡＢＧを施行した１例
- Author:
Masayuki Sakaguchi
;
Takahiro Takemura
;
Yoshiei Shimamura
;
Yasutoshi Tsuda
;
Shizuko Iwasa
- Publication Type:Journal Article
- Keywords:
off-pump CABG
- From:Japanese Journal of Cardiovascular Surgery
2003;32(2):86-89
- CountryJapan
- Language:Japanese
-
Abstract:
A 63-year-old man with unstable angina and idiopathic thrombocytopenic purpura (ITP) underwent off-pump coronary artery bypass grafting after being admitted to our hospital because of angina pectoris. Coronary angiography performed on admission showed 90% stenosis of the left main coronary artery. High dose transvenous γ globulin therapy was performed for 3 days before surgery. The number of platelets, which was 2.3×104/mm3 on admission increased to 4.1×104/mm3 before surgery. Ten units of platelets were transfused intraoperatively, with little perioperative hemorrhage and no increased incidence of bleeding complications. The postoperative course was uneventful. High dose transvenous γ globulin therapy and operation without cardiopulmonary bypass were useful in facilitating the treatment of this ITP coronary artery bypass patient.
