A patient with glanzmann's thrombasthenia for emergent abdominal surgery


Uzunlar H., Eroglu A. , Senel A. C. , Bostan H., Erciyes N.

ANESTHESIA AND ANALGESIA, vol.99, no.4, pp.1258-1260, 2004 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 99 Issue: 4
  • Publication Date: 2004
  • Doi Number: 10.1213/01.ane.0000131726.09685.bf
  • Title of Journal : ANESTHESIA AND ANALGESIA
  • Page Numbers: pp.1258-1260

Abstract

Glanzmann's thrombasthenia is a rare autosomal recessive disease characterized by potentially major mucocutaneous complications and nose bleeds. It is considered hazardous for these surgical patients to conceive, with a high risk of urgent surgery. The treatment of bleeding or prevention of hemorrhage for surgery or invasive procedures is based on platelet transfusion. However, platelet transfusions may be responsible for the development of alloimmunization, with a high risk of future platelet refractoriness. We report a surgical case of Glanzmann's thrombasthenia complicated by nasopharyngeal bleeding and managed with platelet transfusions, recombinant activated factor VII, and postoperative airway management in the intensive care unit.