Choi Eun Jin, Lee Sub
Department of Pediatrics, Catholic University of Daegu School of Medicine, Korea.
Korean J Thorac Cardiovasc Surg. 2013 Jun;46(3):220-2. doi: 10.5090/kjtcs.2013.46.3.220. Epub 2013 Jun 5.
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.
尽管血栓性血小板减少性紫癜(TTP)是一种罕见疾病,但在心脏手术后患者中发生时,可能会导致致命后果。由于心脏手术后患者早期血小板减少的发生率较高,因此在术后管理中通常会输注血小板浓缩物。然而,当TTP可能是诊断结果时,不建议输注血小板。我们遇到了一名心脏手术患者术后发生TTP的情况,并发现了确定术后血小板减少病因的重要性。在此,我们报告该病例并简要回顾相关文献。