Thrombocytopenia: Perioperative Considerations for Patients Undergoing Cardiac Surgery

J Cardiothorac Vasc Anesth. 2022 Mar;36(3):893-905. doi: 10.1053/j.jvca.2021.02.009. Epub 2021 Feb 6.

Abstract

The etiologies of thrombocytopenia in patients presenting for cardiac surgery are extensive, but clinically relevant conditions generally can be categorized by those related to decreased platelet production or increased platelet destruction. Many causes require mere acknowledgment and availability of allogeneic platelet transfusion; others have unique considerations for which providers should be familiar. The purpose of this review is to provide an overview of the common causes of thrombocytopenia, summarize the literature, and discuss perioperative considerations for patients undergoing cardiac surgery.

Keywords: cardiac surgery; platelet disorders; thrombocytopenia.

Publication types

  • Review

MeSH terms

  • Anemia* / complications
  • Cardiac Surgical Procedures* / adverse effects
  • Humans
  • Platelet Transfusion
  • Thrombocytopenia* / diagnosis
  • Thrombocytopenia* / etiology