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A Case of Aortic Valve Replacement Due to Aortic Insufficiency with Idiopathic Thrombocytopenic Purpura Hideki Takahashi 1 , Naritomo Nishioka 1 , Takashi Azami 1 1Department of Cardiovascular Surgery, Yodogawa Christian Hospital Keyword: 特発性血小板減少性紫斑病 , 免疫グロブリン大量静注療法 , 血小板輸血 , idiopathic thrombocytopenic purpura , intravenous infusion of high-dose immunoglobulin therapy , platelet transfusion pp.337-339
Published Date 2010/3/15
DOI https://doi.org/10.11477/mf.1404101451
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 A 76-year-old woman with a nine-year history of idiopathic thrombocytopenic purpura(ITP) was referred to our department due to aortic insufficiency. As the platelet count before the operation had decreased to 4.2×104/mm3, intravenous infusion therapy with high-dose immunoglobulin was conducted for 5 days starting from 7 days before the operation. However, no definite increase was observed in the platelet count. Accordingly, twenty units of concentrated platelets were transfused the day before the operation. As a result, the platelet count increased to 10.3×104/mm3. Aortic valve replacement(Mosaic ultra 19mm) was performed. Thus an aortic replacement was successfully performed in an aortic insufficiency patient complicated with ITP by intravenous infusion therapy with high-dose immunoglobulin before the operation in combination with platelet transfusion during the perioperative period.


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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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