Ashoub, AhmedLakshmanan, SureshLuckraz, Heyman2013-07-162013-07-162013-07Ashoub Ahmed, Lakshmanan Suresh, Luckraz Heyman. Cardiac surgery in a patient with severe thrombocytopenia: How low is too low. Annals of Cardiac Anaesthesia. 2013 Jul; 16(3): 215-217.http://imsear.searo.who.int/handle/123456789/147269Platelets play a very important role in hemostasis, especially after cardiac surgery. Excessive bleeding after such surgery may lead to increased need for transfusion and its incumbent increase in post-operative morbidity and mortality. Although most cardiac surgeons will offer a surgical option to a patient with moderate thrombocytopenia (platelet count around 70 × 10 9 /L), successful cardiac surgery has not been reported in patients with significantly lower platelets counts (less than 40 × 10 9 /L). We report a case of severe thrombocytopenia (19 × 10 9 /L) where coronary artery bypass grafting was performed with minimal blood loss post-operatively, discuss the patient's management and provide insights while dealing with such patients.enBleedingCardiac surgeryThrombocytopeniaAgedAntifibrinolytic Agents --therapeutic useBlood Loss, Surgical --prevention & controlCoronary Artery BypassHumansIntraoperative CareMalePlatelet CountPlatelet TransfusionPreoperative CareThrombocytopenia --bloodThrombocytopenia --therapyTranexamic Acid --therapeutic useArticle