Hemostatic Management of Severe Thrombocytopenia in a Patient Undergoing Pulmonic Valve Replacement

A A Case Rep. 2015 Jul 1;5(1):3-5. doi: 10.1213/XAA.0000000000000166.

Abstract

Perioperative management of thrombocytopenia is often focused on platelet transfusion. However, there are thrombocytopenic cases that are refractory to platelet transfusion as a result of immune response or consumptive coagulopathy. Acuity of the disease may necessitate an invasive procedure despite a grossly abnormal platelet count. We describe a case of severe thrombocytopenia refractory to platelet transfusion and hemostatic management after an urgent pulmonary valve replacement and pulmonary embolectomy.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Heart Valve Diseases / complications
  • Heart Valve Diseases / surgery
  • Heart Valve Prosthesis Implantation*
  • Hemostasis, Surgical / methods*
  • Humans
  • Platelet Count
  • Platelet Transfusion / adverse effects
  • Pulmonary Valve / surgery*
  • Thrombocytopenia / complications
  • Thrombocytopenia / therapy*