• A & A case reports · Jul 2015

    Case Reports

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

    • Kenichi A Tanaka, Pulsar Li, Stephen M McHugh, and Kathirvel Subramaniam.
    • From the *Department of Anesthesiology, University of Maryland Medical Center, Baltimore, Maryland; and †Department of Anesthesiology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
    • A A Case Rep. 2015 Jul 1;5(1):3-5.

    AbstractPerioperative 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.

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