A Case of Off-Pump Coronary Artery Bypass Grafting Following High-Dose Dexamethasone Therapy in a Patient with Idiopathic Thrombocytopenic Purpura
-
- Sugimoto Satoshi
- Department of Cardiovascular Surgery, Obihiro Kosei Hospital
-
- Yamashita Tomoyoshi
- Department of Cardiovascular Surgery, Obihiro Kosei Hospital
-
- Adachi Akira
- Department of Cardiovascular Surgery, Obihiro Kosei Hospital
-
- Yamauchi Hidetoshi
- Department of Cardiovascular Surgery, Obihiro Kosei Hospital
Bibliographic Information
- Other Title
-
- 特発性血小板減少性紫斑病を合併した心筋梗塞に対して術前にデキサメサゾン大量療法を施行した冠動脈バイパス術の1治験例
Search this article
Abstract
<p>Man in his 70s, who had suffered from idiopathic thrombocytopenic purpura (ITP), was admitted to our hospital with chest pain at rest. Coronary angiography revealed obstruction of the right coronary artery and triple vessel disease. Because a bleeding tendency was expected during coronary artery bypass grafting, we performed percutaneous coronary intervention to the culprit lesion first, and then intravenous immunoglobulin and high dose dexamethasone were tried. His platelet count rose from 49,000 to 103,000/mm3, so we performed coronary artery bypass grafting. The patient had no postoperative hemorrhagic complications. We believe that high dose dexamethasone therapy is useful for patients with ITP who need surgery immediately.</p>
Journal
-
- Japanese Journal of Cardiovascular Surgery
-
Japanese Journal of Cardiovascular Surgery 52 (1), 24-28, 2023-01-15
The Japanese Society for Cardiovascular Surgery
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390576424448297344
-
- ISSN
- 18834108
- 02851474
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
- Crossref
-
- Abstract License Flag
- Disallowed