The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Acute Thrombotic Thrombocytopenic Purpura with Right Heart Failure Following Total Knee Replacement Surgery

인공 슬관절 전치환술 후 발생한 우심부전을 동반한 혈전성혈소판감소자반증

  • Shim, Sangwoo (Department of Internal Medicine, Catholic University of Daegu School of Medicine) ;
  • Lim, Chae-Man (Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Koh, Younsuck (Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Hong, Sang-Bum (Department of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine)
  • 심상우 (대구가톨릭대학교 의과대학 내과학교실) ;
  • 임채만 (울산대학교 의과대학 서울아산병원 호흡기내과 및 중환자의학과) ;
  • 고윤석 (울산대학교 의과대학 서울아산병원 호흡기내과 및 중환자의학과) ;
  • 홍상범 (울산대학교 의과대학 서울아산병원 호흡기내과 및 중환자의학과)
  • Received : 2016.08.22
  • Accepted : 2017.10.29
  • Published : 2018.04.01
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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.

Keywords

References

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Cited by

  1. Postoperative Thrombotic Thrombocytopenic Purpura after Total Hip Arthroplasty: A Case Report and Review of the Literature vol.2018, pp.None, 2018, https://doi.org/10.1155/2018/9716170
  2. Postsurgical thrombotic microangiopathy: Case series and review of the literature vol.103, pp.4, 2018, https://doi.org/10.1111/ejh.13284