PMID- 29474205 OWN - NLM STAT- MEDLINE DCOM- 20180925 LR - 20180925 IS - 1473-5733 (Electronic) IS - 0957-5235 (Linking) VI - 29 IP - 3 DP - 2018 Apr TI - Perioperative management of a patient with Glanzmann thrombasthenia undergoing a coronary artery bypass graft surgery: a case report. PG - 327-329 LID - 10.1097/MBC.0000000000000719 [doi] AB - : We report herein the successful perioperative management of a 57-year-old man with a type I Glanzmann thrombasthenia undergoing coronary artery bypass graft surgery and right carotid endarterectomy. The patient suffered from several lesions in the three major coronary arteries and in the right carotid necessitating surgery. Prophylactic human leukocyte antigen (HLA)-matched platelets transfusions were continuous administrated before, and through the immediate perioperative period. Posttransfusion platelet recovery was monitored using flow cytometry to determine the percentage of circulating platelet expressing CD61 (beta3). No bleeding complications occurred during and following the procedure. The patient did not develop HLA antibodies or alphaIIbbeta3 antibodies. Thrombophilia screening revealed a heterozygous G20210A prothrombin gene mutation. The patient also suffered from an atrial fibrillation, necessitating anticoagulation therapy. During the hospital stay, a treatment with vitamin K antagonists for stroke prevention was initiated. The patient was discharged 8 days following surgery, and no further complications occurred during the 6 months follow-up. FAU - Kurdi, Mohamad AU - Kurdi M AD - Department of Biological Hematology. FAU - Frere, Corinne AU - Frere C AD - Department of Biological Hematology. FAU - Amour, Julien AU - Amour J AD - Department of Anesthesia, Assistance Publique-Hopitaux de Paris, Pitie Salpetriere Hospital. FAU - Brumpt, Caren AU - Brumpt C AD - Department of Biological Hematology, Assistance Publique-Hopitaux de Paris, Lariboisiere Hospital. FAU - Delort, Josee AU - Delort J AD - Etablissement Francais du Sang (EFS), GH La Pitie Salpetriere. FAU - Lebreton, Guillaume AU - Lebreton G AD - Department of Cardiac Surgery, Assistance Publique-Hopitaux de Paris, Pitie Salpetriere Hospital. FAU - Croisille, Laure AU - Croisille L AD - Etablissement Francais du Sang (EFS), CHU Henri Mondor. FAU - d'Oiron, Roseline AU - d'Oiron R AD - Assistance publique-Hopitaux de Paris, Hopitaux Universitaires Paris-Sud, Hopital Bicetre, Centre de Traitement de l'Hemophilie et des Maladies Hemorragiques Constitutionnelles, Le Kremlin Bicetre, France. FAU - Martin-Toutain, Isabelle AU - Martin-Toutain I AD - Department of Biological Hematology. LA - eng PT - Case Reports PT - Journal Article PL - England TA - Blood Coagul Fibrinolysis JT - Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis JID - 9102551 RN - 0 (HLA Antigens) SB - IM MH - Atrial Fibrillation/drug therapy MH - Carotid Arteries/*surgery MH - *Coronary Artery Bypass MH - Coronary Vessels/*surgery MH - HLA Antigens/immunology MH - Humans MH - Male MH - Middle Aged MH - *Perioperative Period MH - Platelet Transfusion MH - Stroke/prevention & control MH - Thrombasthenia/*therapy MH - Thrombophilia/genetics MH - Treatment Outcome EDAT- 2018/02/24 06:00 MHDA- 2018/09/27 06:00 CRDT- 2018/02/24 06:00 PHST- 2018/02/24 06:00 [pubmed] PHST- 2018/09/27 06:00 [medline] PHST- 2018/02/24 06:00 [entrez] AID - 10.1097/MBC.0000000000000719 [doi] PST - ppublish SO - Blood Coagul Fibrinolysis. 2018 Apr;29(3):327-329. doi: 10.1097/MBC.0000000000000719.