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CASE REPORT
Year : 2007  |  Volume : 51  |  Issue : 6  |  Page : 541-545

Open heart surgery for cyanotic heart disease in a child with immune thrombocytopenic purpura:a case report


1 MBBS, MD, Associate Prof, Department of Cardiac Anaesthesia, Department of Cardiac Anaesthesia, Cardiothoracic Sciences Center, All India Institute of Medical Sciences, New Delhi, India
2 MBBS, MD, Senior Resident, Department of Cardiac Anaesthesia, Department of Cardiac Anaesthesia, Cardiothoracic Sciences Center, All India Institute of Medical Sciences, New Delhi, India
3 MBBS, MD, Professor & HOD, Department of Cardiac Anaesthesia, Department of Cardiac Anaesthesia, Cardiothoracic Sciences Center, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Usha Kiran
Professor & HOD, Department of CardiacAnaesthesia, All India Institute of Medical Sciences, New Delhi
India
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Source of Support: None, Conflict of Interest: None


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Acute immune thrombocytopenic purpura in children, though a benign self limiting condition, at times complicated with life threatening haemorrhage. In spite of bleeding episode it is inevitable that surgical procedure will be performed on patients with this disease. The anaesthetic implications therefore need to be addressed. Although few reports describing the perioperative management of patients with chronic idiopathic thrombocytopenic purpura are available, literature regarding open heart surgery for cyanotic heart disease is lacking. We describe the management course and raise some anaesthetic considerations for a two year old child with acute immune thrombocytopenic purpura and tetralogy of Fallot's who underwent emergency surgical correction of the cardiac problem under extracorporeal circulation.


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