Koyanagi T, Kyo S, Hirooka E, Koyama I, Omoto R
Department of Surgery, Saitama Medical School, Japan.
Ann Thorac Surg. 2000 Apr;69(4):1261-3. doi: 10.1016/s0003-4975(99)01397-1.
Mitral valve replacement was able to be carried out at redo operation requiring neither allogeneic platelet nor blood transfusion in a patient with idiopathic thrombocytopenic purpura, by means of preoperative high-dose intravenous gamma-globulin, autologous blood predonation, use of a centrifugal pump, heparin-coated extracorporeal circuits, and simultaneous splenectomy.