Mitral valve replacement in patients of rheumatic heart disease associated with immune thrombocytopenia

被引：0

作者：

Goyal, Vikas Deep ^{[1
]}

Pahade, Akhilesh ^{[2
]}

Misra, Gaurav ^{[2
]}

Kaira, Vaanika ^{[3
]}

机构：

[1] SRMS, IMS, Dept Surg, Bareilly 243202, UP, India

[2] SRMS, IMS, Dept Anaesthesia, Bareilly 243202, UP, India

[3] SRMS, IMS, Dept Pathol, Bareilly 243202, UP, India

来源：

INDIAN JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY | 2023年 / 39卷 / 05期

关键词：

Immune thrombocytopenia; Bleeding; Rheumatic heart disease; Mitral valve replacement; Steroids; Platelet transfusion; SPLENECTOMY; MANAGEMENT; ADULTS; ITP;

D O I：

10.1007/s12055-023-01517-4

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Immune thrombocytopenia in association with rheumatic heart disease is not commonly seen. Surgical management of rheumatic heart disease becomes more challenging in the presence of immune thrombocytopenia. The risk of complications increases manifold and judicious medical management before, during, and after surgery is imperative. We discuss two such cases, the complications we faced and the problems we anticipated before, and their prevention. Both patients were managed without using immunoglobulins or doing splenectomy. The literature on valve replacement in patients of immune thrombocytopenia and the implications of immune thrombocytopenia in the management of patients with rheumatic heart disease is also reviewed.

引用

页码：516 / 521

页数：6

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