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KMID : 0882420180930020220
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Korean Journal of Medicine
2018 Volume.93 No. 2 p.220 ~ p.223
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Acute Thrombotic Thrombocytopenic Purpura with Right Heart Failure Following Total Knee Replacement Surgery
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Shim Sang-Woo
Lim Chae-Man
Koh Youn-Suck
Hong Sang-Bum
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Abstract
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Thrombotic thrombocytopenic purpura (TTP) is a life-threatening condition characterized by microangiopathic hemolytic anemia, thrombocytopenia, renal insufficiency, neurological abnormalities, and fever. Cardiac involvement is not uncommon and can be fatal; however, right ventricular heart involvement after surgery is rare. Here, we report a case of TTP presenting with right ventricular heart failure after total knee replacement surgery. TTP was successfully treated with four rounds of plasma exchange. The patient made a full recovery and was discharged after 11 weeks.
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KEYWORD
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Purpura, Thrombotic thrombocytopenic, Orthopedics, Heart failure
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