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Emergency aortic arch replacement in a patient with idiopathic thrombocytopenic purpura
Authors:Akihiko Usui  Mitsuo Kawamura  Michiaki Hibi  Katsuhiko Yoshida  Fumihiko Murakami  Jinichi Iwase
Affiliation:(1) Department of Surgery, Cardiovascular Center, Owari Prefectural Hospital, 2135 Kariyasuga, Yamato-cho, 491 Ichinomiya, Aichi, Japan;(2) 2-903 Umegaoka, Tenpaku-ku, 468 Nagoya, Japan
Abstract:We herein report the case of a 56-year-old man with idiopathic thrombocytopenic purpura who required an emergency aortic arch replacement. Intraoperatively, hemostasis was achieved using platelet transfusions. Postoperatively, the use of high-dose gamma-globulin therapy was able to maintain an adequate platelet count and good hemostasis.
Keywords:dissecting aneurysm  aortic arch replacement  idiopathic thrombocytopenic purpura
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