Abstract

THROMBOCYTOPENIA SUPERIMPOSED WITH THE WANING OF CARDIAC SURGERY WITH CARDIOPULMONARY BYPASS. A REPORT OF TWO CASES AND REVIEW OF THE LITERATURE

Fouad Amal Wahid* Mahdi Ait Houssa, Mohamed Drissi, Abdelkader Belmekki, Abdedaim Elghadbane Hatim, Abedelatif Boulahya

ABSTRACT

The occurrence of thrombocytopenia is almost systematic in cardiac surgery under cardiopulmonary bypass. Its usual causes are multiple and sometimes recognized but infrequent mechanisms are added causing the problem etiological diagnosis. We report 2 cases of thrombocytopenia superimposed with the waning of cardiovascular surgery with cardiopulmonary bypass. The first case report with rare drug immuno allergy and the second due to a septic shock and hemolysis by Intra-aortic balloon counter pulsation, then they describe the various common causes platelet changes induced by cardiopulmonary bypass. The appropriate care was difficult because of delayed diagnosis. Only one patient had a favorable outcome.

Keywords: Platelets, thrombocytopenia, cardiopulmonary bypass, cardiac surgery.