1. A Case Report of Pulmonary Embolectomy Under Cardiopulmonary Bypass in a Patient with Intracranial Hemorrhage and History of Heparin-Induced Thrombocytopenia.
- Author
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Tauzi P, Aubourg C, Dang Van S, Gros A, Sargentini C, and Rineau E
- Subjects
- Humans, Anticoagulants adverse effects, Cardiopulmonary Bypass adverse effects, Heparin adverse effects, Intracranial Hemorrhages surgery, Intracranial Hemorrhages complications, Cerebral Hemorrhage, Embolectomy adverse effects, Hematoma surgery, Thrombocytopenia chemically induced, Thrombocytopenia surgery, Pulmonary Embolism drug therapy, Pulmonary Embolism surgery, Pulmonary Embolism complications
- Abstract
Pulmonary embolism is a common complication after intracranial hemorrhage. As thrombolysis is contraindicated in this situation, surgical pulmonary embolectomy may be indicated in case of high-risk pulmonary embolism but requires transient anticoagulation with heparin during cardiopulmonary bypass. We report the case of a patient with a history of heparin-induced thrombocytopenia who presented with a high-risk pulmonary embolism 10 days after the spontaneous onset of a voluminous intracerebral hematoma. Despite high doses of heparin required to run the cardiopulmonary bypass and subsequent anticoagulation by danaparoid sodium, the brain hematoma remained stable and the patient was discharged without complications 30 days after surgery., Competing Interests: The authors declare no conflicts of interest., (Copyright © 2024 International Anesthesia Research Society.)
- Published
- 2024
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