| Impending Ruptured Abdominal
Aortic Aneurysm in a Patient with Chronic Idiopathic Thrombocytopenic
Purpura |
(Department of Cardiovascular Surgery, Fuji General
Hospital, Shizuoka, Japan)
| Hirokuni Naganuma* |
Keno Mashiko |
Kei Tanaka |
|
A 64-year-old man had been followed
up under the diagnosis of chronic idiopathic thrombocytopenic
purpura (ITP), and infrarenal abdominal aortic aneurysm with
a maximum diameter of 85mm since August in 1998. He suffered
from sudden abdominal pain in August 1999, and as impending ruptured
abdominal aortic aneurysm was diagnosed based on the CT findings
showing left retroperitoneal hematoma and leakage of contrast
medium from the aneurysm. We decided to perform elective surgery.
Since he was not in shock and had a low platelet count (2.5 X
104/mm3), medical treatment was indicated
for hypertension and thrombocytopenia prior to surgery. High-dose
immunogloblin infusion and platelet transfusion was begun two
days before the operation and increased the platelet count to
6.1 X 104/mm3, resulting in a successful
elective operation.
Jpn. J. Cardiovasc. Surg. 30：220-222 (2001) |
|
