Korean J Thorac Cardiovasc Surg.
2002 Jun;35(6):475-478.
Open Heart Surgery in Patient with Heparin-Induced Thrombocytopenia
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery,Yonsei Cardiovascular Center,College of Medicine Yonsei Universitiy, Korea. yshong@yumc.yonsei.ac.kr
- 2Department of Anesthesiology,College of Medicine Yonsei Universitiy, Korea.
- 3Department of Internal Medicine,College of Medicine Yonsei Universitiy, Korea.
Abstract
- A 45 year old man was admitted for aggravated dyspnea, abdominal distension and poor oral intake.On Echocardiogram,mitral stenosis(severe),tricuspid regurgitaion(IV),and LA thrombus were diagnosed.We used heparin with continuous infusion for prevention of systemic thrombo embolism. On the 11 th day of admissin, the patient showed thrombocytopenia and we suspected Heparin-induced thrombocytopenia.Hirudin was used in this case as alternative anticoagulant during cardiopulmonary bypass to prevent serious complication of heparin.The patient was recovered without any complication as postoperative bleeding or systemic thromboembolism.
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