Acute Thrombotic Thrombocytopenic Purpura with Right Heart Failure Following Total Knee Replacement Surgery.
10.3904/kjm.2018.93.2.220
- Author:
Sangwoo SHIM
1
;
Chae Man LIM
;
Younsuck KOH
;
Sang Bum HONG
Author Information
1. Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.
- Publication Type:Case Report
- Keywords:
Purpura, Thrombotic thrombocytopenic;
Orthopedics;
Heart failure
- MeSH:
Anemia, Hemolytic;
Arthroplasty, Replacement, Knee*;
Fever;
Heart Failure*;
Heart*;
Humans;
Orthopedics;
Plasma Exchange;
Purpura, Thrombotic Thrombocytopenic*;
Renal Insufficiency;
Thrombocytopenia
- From:Korean Journal of Medicine
2018;93(2):220-223
- CountryRepublic of Korea
- Language:English
-
Abstract:
Thrombotic thrombocytopenic purpura (TTP) is a life-threatening condition characterized by microangiopathic hemolytic anemia, thrombocytopenia, renal insufficiency, neurological abnormalities, and fever. Cardiac involvement is not uncommon and can be fatal; however, right ventricular heart involvement after surgery is rare. Here, we report a case of TTP presenting with right ventricular heart failure after total knee replacement surgery. TTP was successfully treated with four rounds of plasma exchange. The patient made a full recovery and was discharged after 11 weeks.
