Perioperative management of a Glanzmann thrombasthenia patient undergoing off-pump coronary artery bypass graft surgery: A case report

Date
2023-03-08
Authors
Bayan F. Alqtishat
Ruba Salameh
Hasan Hajjaj
Nizar Awwad
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Deanship of Scientific Research/ Al-Quds University
Abstract
Background: Glanzmann thrombasthenia is a rare bleeding disorder caused by defective platelet aggregation and characterized by mucocutaneous bleeding: recurrent untriggered episodes of epistaxis and gingival bleeding. Glanzmann thrombasthenia is known for its’ clinical variability in signs and symptoms, ranging from easy bruising to fatal hemorrhages. While mild cases are managed conservatively, platelet transfusion is needed for more severe cases. This is the first case reporting a patient with Glanzmann thrombasthenia undergoing an off-pump fashion coronary artery bypass graft surgery; with minimal platelets transfusion required.
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