Korean J Thorac Cardiovasc Surg.  2013 Jun;46(3):220-222. 10.5090/kjtcs.2013.46.3.220.

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

Affiliations
  • 1Department of Pediatrics, Catholic University of Daegu School of Medicine, Korea.
  • 2Department of Thoracic and Cardiovascular Surgery, Catholic University of Daegu School of Medicine, Korea. leesub@cu.ac.kr

Abstract

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.

Keyword

Thrombotic thrombocytopenic purpura; Thoracic surgery; Thrombocytopenia

MeSH Terms

Blood Platelets
Fatal Outcome
Humans
Platelet Transfusion
Purpura, Thrombotic Thrombocytopenic
Rare Diseases
Thoracic Surgery
Thrombocytopenia
Thymine Nucleotides
Thymine Nucleotides
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