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Ann Thorac Surg 2000;69:1261-1263
© 2000 The Society of Thoracic Surgeons
a Department of Surgery, Saitama Medical School, Saitama, Japan
Address reprint requests to Dr Koyanagi, Sakakibara Memorial Hospital, 2-5-4, Yoyogi, Shibuya, Tokyo 151-0053, Japan
Mitral valve replacement was able to be carried out at redo operation requiring neither allogeneic platelet nor blood transfusion in a patient with idiopathic thrombocytopenic purpura, by means of preoperative high-dose intravenous
-globulin, autologous blood predonation, use of a centrifugal pump, heparin-coated extracorporeal circuits, and simultaneous splenectomy.
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