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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| Language: | Portuguese |
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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. |
| first_indexed | 2025-10-08T13:55:41Z |
| format | Online |
| id | ojs-article-1899 |
| institution | Universidade Estadual de Campinas |
| issn | 2596-1969 |
| language | por |
| last_indexed | 2025-10-08T13:55:41Z |
| publishDate | 2019 |
| publisher | Universidade Estadual de Campinas |
| record_format | ojs |
| 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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