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Death due to undetected heparin-induced thrombocytopenia after cardiac surgery
- Source :
- General thoracic and cardiovascular surgery. 60(8)
- Publication Year :
- 2011
-
Abstract
- A 41-year-old male patient was diagnosed acute myocardial infarction. An intra-aortic balloon pump was inserted to treat heart failure, and off-pump coronary artery bypass surgery was performed. Postoperative cardiac catheterization revealed occlusion of all the 3 bypass grafts, and percutaneous coronary intervention (PCI) was performed. Thrombosis due to heparin-induced thrombocytopenia (HIT) occurred during PCI, which was completed after switching to argatroban based on the possible HIT. Cardiopulmonary arrest occurred suddenly after PCI, and the patient died. Undetected HIT may have caused the sudden change. HIT should be suspected and aggressively treated when thrombocytopenia occurs even during assisted circulation.
- Subjects :
- Pulmonary and Respiratory Medicine
Adult
Male
medicine.medical_specialty
medicine.medical_treatment
Coronary Artery Bypass, Off-Pump
Myocardial Infarction
Argatroban
Coronary artery bypass surgery
Fatal Outcome
Percutaneous Coronary Intervention
Heparin-induced thrombocytopenia
Internal medicine
medicine
Humans
Myocardial infarction
Cardiac catheterization
business.industry
Heparin
Graft Occlusion, Vascular
Percutaneous coronary intervention
Anticoagulants
Thrombosis
General Medicine
medicine.disease
Thrombocytopenia
Cardiac surgery
Surgery
Heart Arrest
Conventional PCI
Cardiology
Cardiology and Cardiovascular Medicine
business
medicine.drug
Subjects
Details
- ISSN :
- 18636713
- Volume :
- 60
- Issue :
- 8
- Database :
- OpenAIRE
- Journal :
- General thoracic and cardiovascular surgery
- Accession number :
- edsair.doi.dedup.....59b23e375ed0fa126897b626909ac99b