• Pediatric cardiology · Jan 2013

    Case Reports

    A triple challenge: thrombocytopenia in a 7-year-old girl with unrepaired d-transposition of the great arteries, ventricular septal defect, and pulmonary hypertension.

    • Mohammed Al-Biltagi, Mohamed F Ismail, Osman O Al-Radi, and Haysam Baho.
    • Paediatric Department, Faculty of Medicine, Tanta University, Al Bahr Street, Tanta University Medical Complex, Tanta, Egypt, mbelrem@hotmail.com.
    • Pediatr Cardiol. 2013 Jan 1;34(8):2021-3.

    AbstractThrombocytopenia can be a real challenge during cardiac surgery in children with cyanotic congenital heart disease. This report describes a 7-year-old girl with d-transposition of the great arteries, ventricular septal defect, pulmonary hypertension, chronic thrombocytopenia, polycythemia, and chronic renal impairment. The thrombocytopenia improved several days after splenectomy. The child then underwent a successful arterial switch operation with ventricular septal defect closure.

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