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Surgical management of tetralogy of fallot with idiopathic thrombocytopenic purpura
Authors:Rohit Shapurkar  Prashant Mishra  Jagdish Khandeparkar
Affiliation:(1) Departments of CardioVascular and Thoracic Surgery, KEM Hospital and Seth GS Medical College, Mumbai, India;(2) Department of CardioVascular and Thoracic Surgery, LTMG Hospital & LTM Medical College, Mumbai, 400022, India
Abstract:
The association of cyanotic heart disease with Idiopathic Thrombocytopenic Purpura (ITP) may accentuate the hemorrhagic complications of cardiac surgery under cardiopulmonary bypass. A-5-year-old girl with Chronic Steroid Refractory Idiopathic Thrombocytopenic Purpura with Tetralogy of Fallot (TOF) underwent successful intracardiac repair under normothermic cardiopulmonary bypass and warm blood potassium cardioplegia. Presurgery she received immunoglobulins and perioperatively she was administered inj methylprednisolone, inj aprotinin, platelets and fresh frozen plasma.
Keywords:Idiopathic  Tetralogy of Fallot  Thrombocytopenic purpura
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