Mitral valve replacement in patients of rheumatic heart disease associated with immune thrombocytopenia.

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS

Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2023-09-01 Epub Date: 2023-06-01 DOI:10.1007/s12055-023-01517-4

Vikas Deep Goyal, Akhilesh Pahade, Gaurav Misra, Vaanika Kaira

引用次数: 0

Abstract

Immune thrombocytopenia in association with rheumatic heart disease is not commonly seen. Surgical management of rheumatic heart disease becomes more challenging in the presence of immune thrombocytopenia. The risk of complications increases manifold and judicious medical management before, during, and after surgery is imperative. We discuss two such cases, the complications we faced and the problems we anticipated before, and their prevention. Both patients were managed without using immunoglobulins or doing splenectomy. The literature on valve replacement in patients of immune thrombocytopenia and the implications of immune thrombocytopenia in the management of patients with rheumatic heart disease is also reviewed.

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风湿性心脏病伴免疫性血小板减少症患者的二尖瓣置换术。

与风湿性心脏病相关的免疫性血小板减少症并不常见。如果存在免疫性血小板减少症，风湿性心脏病的手术治疗就变得更具挑战性。并发症的风险成倍增加，因此手术前、手术中和手术后都必须进行明智的医疗管理。我们将讨论两个这样的病例、我们面临的并发症、我们之前预计到的问题及其预防。这两名患者均未使用免疫球蛋白或进行脾切除术。我们还回顾了有关免疫性血小板减少症患者瓣膜置换术的文献，以及免疫性血小板减少症对风湿性心脏病患者治疗的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Indian Journal of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

1.20

自引率

14.30%

发文量

141

期刊介绍： The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.