dc.contributor.author | Olgar, Seref | |
dc.contributor.author | Ertugrul, Turkan | |
dc.contributor.author | Devecioglu, Omer | |
dc.contributor.author | Nisli, Kemal | |
dc.contributor.author | Turkan, Elmaci | |
dc.date.accessioned | 2021-03-04T13:11:14Z | |
dc.date.available | 2021-03-04T13:11:14Z | |
dc.date.issued | 2008 | |
dc.identifier.citation | Olgar S., Ertugrul T., Nisli K., Devecioglu O., Turkan E., "Shunt Operations Improved Thrombocytopenia in a Patient with Congenital Cyanotic Heart Disease", ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY, cilt.14, sa.5, ss.329-332, 2008 | |
dc.identifier.issn | 1341-1098 | |
dc.identifier.other | vv_1032021 | |
dc.identifier.other | av_7b0e8cec-05ca-470d-8c97-85f17b189409 | |
dc.identifier.uri | http://hdl.handle.net/20.500.12627/84271 | |
dc.description.abstract | Cardiac and vascular intervention in thrombocytopenic congenitally cyanotic patients is more dangerous. Thrombocytopenia in these patients is related to immune thrombocytopenia, polycythemia, hyperviscosity, pseudothrombocytopenia, and drugs. Herein we report on a thrombocytopenic 8-year-old girl with tricuspid valve atresia and pulmonary valve stenosis admitted for catheterization. Thrombocytopenia (21,000/mm(3)) and shunt occlusion was noticed. Thrombocytopenia did not recover after intravenous immunoglobulin (IVIG) and phlebotomy therapies. During preparation for surgery, she suffered cardiopulmonary arrest. A Gore-tex graft was placed in the right pulmonary artery and truncus brachiocephalicus. After surgery, her platelet count spontaneously increased to within the normal range (178,000/mm(3) to 250,000/mm(3)). After resuscitation, she had right-sided hemiplegia sequelae, though there were no hemorrhagic findings on cranial magnetic resonance imaging (MRI) or computed tomography (CT) scans. Two months after surgery, the Blalock-Taussig (BT) shunt blood flow decreased, thrombocyte count dropped, and peripheral cyanosis reappeared. A Fontan operation was performed without hemorrhagic events, and after surgery the thrombocyte count reached 330,000/mm(3). We suggest that if a patient with cyanotic heart disease has thrombocytopenia and there is no apparent cause, hypoxia-related thrombocytopenia must be considered. After reoxygenation by shunt or corrective surgeries, thrombocyte count and functions will recover. (Ann Thorac Cardiovasc Surg 2008; 14: 329-332) | |
dc.language.iso | eng | |
dc.subject | Kardiyoloji | |
dc.subject | Cerrahi Tıp Bilimleri | |
dc.subject | Tıp | |
dc.subject | Dahili Tıp Bilimleri | |
dc.subject | Sağlık Bilimleri | |
dc.subject | CERRAHİ | |
dc.subject | Klinik Tıp (MED) | |
dc.subject | Klinik Tıp | |
dc.subject | CARDIAC ve CARDIOVASCULAR SİSTEMLER | |
dc.title | Shunt Operations Improved Thrombocytopenia in a Patient with Congenital Cyanotic Heart Disease | |
dc.type | Makale | |
dc.relation.journal | ANNALS OF THORACIC AND CARDIOVASCULAR SURGERY | |
dc.contributor.department | İstanbul Üniversitesi , , | |
dc.identifier.volume | 14 | |
dc.identifier.issue | 5 | |
dc.identifier.startpage | 329 | |
dc.identifier.endpage | 332 | |
dc.contributor.firstauthorID | 189649 | |