Z. Koner et al., Fresh whole blood and immunoglobulin permit coronary artery bypass graft surgery in patients with idiopathic thrombocytopenic purpura, J CARDIOTHO, 15(4), 2001, pp. 483-484
CORONARY ARTERY bypass graft (CABG) operations requiring cardiopulmonary by
pass (CPB) have been successfully carried out in patients with idiopathic t
hrombocytopenic purpura (ITP) despite the increased risk of bleeding. Appro
priate patient management results in reduced blood loss, encouraging the us
e of arterial grafts with acceptable transfusion requirements.' The authors
report a patient with ITP who underwent a successful CABG operation withou
t splenectomy, using very fresh whole blood (VFWB) and intravenous immunogl
obulin (IVIg).