Evaluation of transient thrombocytopenia in the postoperative period of aortic valve replacement

Transient thrombocytopenia is common after surgery for aortic valve replacement (AVR), but rarely studied systematically. Severe thrombocytopenia (platelets <50000/mL) often requires replacement of platelets and other blood products and exposure to their risks. The aims of this study are to v...

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Main Authors: Prado, Henrique, Filho, Lindemberg Silveira, Murari, Guilherme, Lavagnoli, Carlos, Oliveira, Elaine de, Vilarinho, Karlos, Oliveira, Pedro de, Petrucci, Orlando
Format: Online
Language:Portuguese
Published: Universidade Estadual de Campinas 2019
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Online Access:https://econtents.sbu.unicamp.br/eventos/index.php/pibic/article/view/1899
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author Prado, Henrique
Filho, Lindemberg Silveira
Murari, Guilherme
Lavagnoli, Carlos
Oliveira, Elaine de
Vilarinho, Karlos
Oliveira, Pedro de
Petrucci, Orlando
author_facet Prado, Henrique
Filho, Lindemberg Silveira
Murari, Guilherme
Lavagnoli, Carlos
Oliveira, Elaine de
Vilarinho, Karlos
Oliveira, Pedro de
Petrucci, Orlando
author_sort Prado, Henrique
collection Portal de Eventos Científicos da UNICAMP
container_reference Revista dos Trabalhos de Iniciação Científica da UNICAMP; n. 27 (2019): Congresso de Iniciação Científica UNICAMP; 1-1
description Transient thrombocytopenia is common after surgery for aortic valve replacement (AVR), but rarely studied systematically. Severe thrombocytopenia (platelets <50000/mL) often requires replacement of platelets and other blood products and exposure to their risks. The aims of this study are to verify the occurrence of complications in patients presenting with severe post op thrombocytopenia (SPOT) after AVR and differences between biological (BP) and mechanical prostheses (MP) in relation to post-op thrombocytopenia. Methods: Retrospective study with 110 patients undergoing AVR surgery with cardiopulmonary bypass, at Hospital de Clínicas, State University of Campinas (Unicamp) between 2011 and 2017. Patients with previous cardiac surgery or other associated cardiac procedures were excluded. Demographic, pre, intra and post-operative data were analyzed. Results: Age and surgical risk EuroSCORE were higher in those who received BP. The total platelets number in the post-op was lower in BP than MP. There was no difference in bleeding and transfusion volumes between patients with BP and MP. Considering all patients, those with SPOT presented lower hemoglobin rates and higher blood transfusion volume, but there was no difference in bleeding volumes. Conclusions: SPOT in AVR was more prevalent in patients who received BP. Patients with SPOT did not present more bleeding volumes but received higher blood transfusion than patients without SPOT.
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spelling ojs-article-18992025-09-26T14:39:16Z Evaluation of transient thrombocytopenia in the postoperative period of aortic valve replacement Prado, Henrique Filho, Lindemberg Silveira Murari, Guilherme Lavagnoli, Carlos Oliveira, Elaine de Vilarinho, Karlos Oliveira, Pedro de Petrucci, Orlando Transient trombocytopenia Aortic valve replacement Cardiac surgery Transient thrombocytopenia is common after surgery for aortic valve replacement (AVR), but rarely studied systematically. Severe thrombocytopenia (platelets <50000/mL) often requires replacement of platelets and other blood products and exposure to their risks. The aims of this study are to verify the occurrence of complications in patients presenting with severe post op thrombocytopenia (SPOT) after AVR and differences between biological (BP) and mechanical prostheses (MP) in relation to post-op thrombocytopenia. Methods: Retrospective study with 110 patients undergoing AVR surgery with cardiopulmonary bypass, at Hospital de Clínicas, State University of Campinas (Unicamp) between 2011 and 2017. Patients with previous cardiac surgery or other associated cardiac procedures were excluded. Demographic, pre, intra and post-operative data were analyzed. Results: Age and surgical risk EuroSCORE were higher in those who received BP. The total platelets number in the post-op was lower in BP than MP. There was no difference in bleeding and transfusion volumes between patients with BP and MP. Considering all patients, those with SPOT presented lower hemoglobin rates and higher blood transfusion volume, but there was no difference in bleeding volumes. Conclusions: SPOT in AVR was more prevalent in patients who received BP. Patients with SPOT did not present more bleeding volumes but received higher blood transfusion than patients without SPOT. Universidade Estadual de Campinas 2019-11-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Artigo de convidado application/pdf https://econtents.sbu.unicamp.br/eventos/index.php/pibic/article/view/1899 10.20396/revpibic2720191899 Revista dos Trabalhos de Iniciação Científica da UNICAMP; n. 27 (2019): Congresso de Iniciação Científica UNICAMP; 1-1 2596-1969 por https://econtents.sbu.unicamp.br/eventos/index.php/pibic/article/view/1899/1958 Copyright (c) 2019 Revista dos Trabalhos de Iniciação Científica da UNICAMP http://creativecommons.org/licenses/by/4.0
spellingShingle Prado, Henrique
Filho, Lindemberg Silveira
Murari, Guilherme
Lavagnoli, Carlos
Oliveira, Elaine de
Vilarinho, Karlos
Oliveira, Pedro de
Petrucci, Orlando
Transient trombocytopenia
Aortic valve replacement
Cardiac surgery
Evaluation of transient thrombocytopenia in the postoperative period of aortic valve replacement
title Evaluation of transient thrombocytopenia in the postoperative period of aortic valve replacement
title_full Evaluation of transient thrombocytopenia in the postoperative period of aortic valve replacement
title_fullStr Evaluation of transient thrombocytopenia in the postoperative period of aortic valve replacement
title_full_unstemmed Evaluation of transient thrombocytopenia in the postoperative period of aortic valve replacement
title_short Evaluation of transient thrombocytopenia in the postoperative period of aortic valve replacement
title_sort evaluation of transient thrombocytopenia in the postoperative period of aortic valve replacement
topic Transient trombocytopenia
Aortic valve replacement
Cardiac surgery
url https://econtents.sbu.unicamp.br/eventos/index.php/pibic/article/view/1899
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