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Acute acquired immune thrombocytopenia after cardiac surgery: A challenging case


1 Department of Anesthesia and Intensive Care Medicine, ASUFC “Santa Maria della Misericordia” University Hospital of Udine, Udine, Italy
2 Department of Anesthesia and Intensive Care Clinic, ASUFC “Santa Maria della Misericordia” University Hospital of Udine; Department of Medicine, University of Udine, Udine, Italy
3 Department of Cardiothoracic Surgery, ASUFC “Santa Maria della Misericordia” University Hospital of Udine, Udine, Italy

Correspondence Address:
Elisabetta Auci
Department of Anesthesia and Intensive Care Medicine, ASUFC “Santa Maria della Misericordia” University Hospital of Udine, Italy. P.le S. Maria della Misericordia 15, 33100 Udine
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_37_21

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Year : 2023  |  Volume : 26  |  Issue : 1  |  Page : 90-93

 

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Thrombocytopenia is a common condition that recognizes an infinite number of possible causes, especially in specific settings like the one covered in this case report: the postoperative period of cardiac surgery. We report a case of an old male with multiple comorbidities who underwent a coronary angioplasty procedure and aortic valve replacement. He showed severe thrombocytopenia in the postoperative days. Differential diagnosis required a big effort, also for the experts in the field. Our goal was to aggressively treat the patient with prednisolone, platelets, and intravenous immunoglobulins to maximize the prognosis. Our patient developed no complications and was discharged successfully.






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1 Department of Anesthesia and Intensive Care Medicine, ASUFC “Santa Maria della Misericordia” University Hospital of Udine, Udine, Italy
2 Department of Anesthesia and Intensive Care Clinic, ASUFC “Santa Maria della Misericordia” University Hospital of Udine; Department of Medicine, University of Udine, Udine, Italy
3 Department of Cardiothoracic Surgery, ASUFC “Santa Maria della Misericordia” University Hospital of Udine, Udine, Italy

Correspondence Address:
Elisabetta Auci
Department of Anesthesia and Intensive Care Medicine, ASUFC “Santa Maria della Misericordia” University Hospital of Udine, Italy. P.le S. Maria della Misericordia 15, 33100 Udine
Italy
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_37_21

Rights and Permissions

Thrombocytopenia is a common condition that recognizes an infinite number of possible causes, especially in specific settings like the one covered in this case report: the postoperative period of cardiac surgery. We report a case of an old male with multiple comorbidities who underwent a coronary angioplasty procedure and aortic valve replacement. He showed severe thrombocytopenia in the postoperative days. Differential diagnosis required a big effort, also for the experts in the field. Our goal was to aggressively treat the patient with prednisolone, platelets, and intravenous immunoglobulins to maximize the prognosis. Our patient developed no complications and was discharged successfully.






[FULL TEXT] [PDF]*


        
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