Cardiovascular Surgery and Interventions
2017, Vol 4, Num 1 Page(s): 015-017
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Ethylenediaminetetraacetic acid-dependent pseudothrombocytopenia in complex cardiac surgery
Burak Onan, Barış Timur, Ersin Kadiroğulları, Korhan Erkanlı
Department of Cardiovascular Surgery, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
Keywords: Cardiac surgery; ethylenediaminetetraacetic acid-dependent; ethylenediaminetetraacetic acid; pseudothrombocytopenia; pseudothrombocytopenia
Pseudothrombocytopenia is an unusual hematological disorder, which develops in response to ethylenediaminetetraacetic acid-dependent anti-platelet autoantibodies in blood, leading to platelet clumping. It is only an in vitro phenomenon, which presents with low platelet counts in routine hematology analysis. The definitive diagnosis should be established to avoid a delay in surgery and unnecessary blood transfusion in patients undergoing cardiovascular surgery. Herein, we present a 51-year-old female case with ethylenediaminetetraacetic acid-dependent pseudothrombocytopenia, who underwent a successful aortic root and valve surgery, and discuss perioperative management of this rare disorder.
Burak Onan, Barış Timur, Ersin Kadiroğulları, Korhan Erkanlı
Department of Cardiovascular Surgery, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
Keywords: Cardiac surgery; ethylenediaminetetraacetic acid-dependent; ethylenediaminetetraacetic acid; pseudothrombocytopenia; pseudothrombocytopenia
Pseudothrombocytopenia is an unusual hematological disorder, which develops in response to ethylenediaminetetraacetic acid-dependent anti-platelet autoantibodies in blood, leading to platelet clumping. It is only an in vitro phenomenon, which presents with low platelet counts in routine hematology analysis. The definitive diagnosis should be established to avoid a delay in surgery and unnecessary blood transfusion in patients undergoing cardiovascular surgery. Herein, we present a 51-year-old female case with ethylenediaminetetraacetic acid-dependent pseudothrombocytopenia, who underwent a successful aortic root and valve surgery, and discuss perioperative management of this rare disorder.
DOI : 10.5606/e-cvsi.2017.623
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