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Case Reports
. 2013;34(8):2021-3.
doi: 10.1007/s00246-012-0570-7. Epub 2012 Nov 11.

A triple challenge: thrombocytopenia in a 7-year-old girl with unrepaired d-transposition of the great arteries, ventricular septal defect, and pulmonary hypertension

Mohammed Al-Biltagi  1 , Mohamed F Ismail, Osman O Al-Radi, Haysam Baho
Affiliations
Case Reports

A triple challenge: thrombocytopenia in a 7-year-old girl with unrepaired d-transposition of the great arteries, ventricular septal defect, and pulmonary hypertension

Mohammed Al-Biltagi et al. Pediatr Cardiol. 2013.

Abstract

Thrombocytopenia can be a real challenge during cardiac surgery in children with cyanotic congenital heart disease. This report describes a 7-year-old girl with d-transposition of the great arteries, ventricular septal defect, pulmonary hypertension, chronic thrombocytopenia, polycythemia, and chronic renal impairment. The thrombocytopenia improved several days after splenectomy. The child then underwent a successful arterial switch operation with ventricular septal defect closure.

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