| A Case of Atrial Septal Defect
and Atrial Fibrillation with Idiopathic Thrombocytopenic Purpura |
(Department of Cardiovascular Surgery, Fukaya Red-Cross
Hospital, Fukaya, Japan)
| Hiroyuki Watanabe |
Hideyuki Nakano |
Atsushi Tamura |
|
A 53-year-old woman with atrial
septal defect (ASD) and atrial fibrillation (AF) with idiopathic
thrombocytopenic purpura (ITP), was scheduled to undergo ASD
closure and the maze procedure. Because steroid therapy was not
effective, high-dose γ-globulin administration (400mg/kg/day)
was performed for 5 days before surgery. The platelet count increased
from 5.4×104/mm3 to 14.0×104/mm3.
ASD patch closure and modified bilateral appendage preserving
(BAP) maze procedure were performed. No hemorrhagic tendency
was recognized. The postoperative course was uneventful, and
the sinus rhythm was recovered. The maze procedure become possible
in this ITP patient with preoperative administration of high-dose
γ-globulin.
Jpn. J. Cardiovasc. Surg. 33: 50 -52 (2004) |
|
