Cardiac Surgery in an Adult Patient with Congenital Asplenia and Thrombocytopenia

Unic-Stojanovic Dragana, Vukov

Abstract

Isolated congenital asplenia is a rare form of immunodeficiency often presenting with overwhelming and potentially fatal infection in early childhood. We report a case of an adult patient with congenital asplenia and severe chronic thrombocytopenia suffering from unstable angina pectoris. The patient underwent coronary artery bypass grafting with cardiopulmonary bypass. Consistent prophylaxis of infection, adequate surgical technique and control of thrombocytopenia prevented losing the patient from sepsis and uncontrollable bleeding.