DOI QR코드

DOI QR Code

A Postoperative Thrombotic Thrombocytopenic Purpura in a Cardiac Surgery Patient: A Case Report

  • Choi, Eun Jin (Department of Pediatrics, Catholic University of Daegu School of Medicine) ;
  • Lee, Sub (Department of Thoracic and Cardiovascular Surgery, Catholic University of Daegu School of Medicine)
  • 투고 : 2012.09.21
  • 심사 : 2012.12.03
  • 발행 : 2013.06.05

초록

Although thrombotic thrombocytopenic purpura (TTP) is a rare disease, when it develops in a post-cardiac surgery patient, it may have a fatal outcome. Since the frequency of early-onset thrombocytopenia in post-cardiac surgery patients is high, platelet concentrates are commonly transfused during postoperative management. However, when TTP is the likely diagnosis, platelet transfusion is not recommended. We experienced a postoperative TTP in a cardiac surgery patient and discovered the importance of identifying the etiology of postoperative thrombocytopenia. Here, we report the case with a brief review of the literature.

키워드

참고문헌

  1. Marques MB. Thrombotic thrombocytopenic purpura and heparin-induced thrombocytopenia: two unique causes of life-threatening thrombocytopenia. Clin Lab Med 2009;29: 321-38. https://doi.org/10.1016/j.cll.2009.03.003
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  6. Saltzman DJ, Chang JC, Jimenez JC, et al. Postoperative thrombotic thrombocytopenic purpura after open heart operations. Ann Thorac Surg 2010;89:119-23. https://doi.org/10.1016/j.athoracsur.2009.09.019
  7. Scully M, Hunt BJ, Benjamin S, et al. Guidelines on the diagnosis and management of thrombotic thrombocytopenic purpura and other thrombotic microangiopathies. Br J Haematol 2012;158:323-35. https://doi.org/10.1111/j.1365-2141.2012.09167.x
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피인용 문헌

  1. Thrombotic thrombocytopenic purpura presenting as acute coronary syndrome vol.4, pp.8, 2013, https://doi.org/10.1002/ccr3.606
  2. Prospective evaluation of ADAMTS-13 and von Willebrand factor multimers in cardiac surgery vol.27, pp.8, 2016, https://doi.org/10.1097/mbc.0000000000000510
  3. Post-traumatic thrombotic microangiopathy following pelvic fracture treated with transcatheter arterial embolization: a case report vol.12, pp.1, 2013, https://doi.org/10.1186/s13256-018-1757-1
  4. Postsurgical thrombotic microangiopathy: Case series and review of the literature vol.103, pp.4, 2013, https://doi.org/10.1111/ejh.13284
  5. Prospective Evaluation of the Pre-, Intra-, and Postoperative Kinetics of ADAMTS-13, von Willebrand Factor, and Interleukin-6 in Vascular Surgery vol.26, pp.None, 2013, https://doi.org/10.1177/1076029620930273
  6. Post-traumatic thrombotic microangiopathy: What trauma surgeons need to know? vol.24, pp.2, 2013, https://doi.org/10.1016/j.cjtee.2021.01.004
  7. The Intriguing Relationships of von Willebrand Factor, ADAMTS13 and Cardiac Disease vol.8, pp.9, 2021, https://doi.org/10.3390/jcdd8090115