CASE REPORT
Year : 2018  |  Volume : 12  |  Issue : 3  |  Page : 42-44

Intraoperative thromboelastographic assessment of platelet function in a patient with low platelet count and high-mean platelet volume requiring cardiac surgery


Department of Anaesthesia, Royal Brompton Hospital, Sydney Street, London, UK

Correspondence Address:
Francesco Del Sindaco
Royal Brompton Hospital, Sydney Street, London, SW3 6NP
UK
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejca.ejca_12_18

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An 80-year-old patient with low platelet count was admitted in our institution for aortic valve replacement and a coronary artery bypass graft. Because of thrombocytopenia, a mean platelet volume has been assessed, showing a value above the range. Two pools of platelets were booked but not transfused, neither in the theater nor during the postoperative period. A thromboelastographic assessment at the end of the cardiopulmonary bypass showed a normal overall platelet function, and no clinical issues (diffuse bleeding after protamine and/or oozing from the drain above the range, in the postoperative period) were noticed. The authors point out the importance of thromboelastographic or thromboelastometric assessments in patients with isolated thrombocytopenia and high-mean platelet volume to contribute to reduce the risk of inappropriate transfusions.


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