title: [Acute ischemia of the legs caused by white clot syndrome after cardiac surgery].
abstract: A case of post-surgical heparin-induced thrombocytopenia with bilateral aorto-iliac thrombosis (the so-called "white clot syndrome") is reported. The clinical manifestation was acute ischaemia in both lower limbs, requiring surgery. In view of the patient's poor general condition 15 days after a double aorto-coronary bypass, the surgical treatment was limited to ilio-femoral thrombectomy associated with extra-anatomical bypass. This, combined with medical treatment, resulted in resolution of all thrombotic symptoms and disappearance of the intra-aortic thrombi at control Doppler ultrasonography and arteriography performed one month later.
authors: Service de chirurgie cardiovasculaire, Hôpital Broussais, Paris.
authors: B
authors: B
authors: Tremblay
authors: C
authors: C
authors: Acar
authors: V
authors: V
authors: Jebara
authors: A
authors: A
authors: Deloche
authors: J N
authors: JN
authors: Fiessinger
authors: A
authors: A
authors: Carpentier
mesh_terms: D001012:Aorta, Abdominal; D001807:Blood Vessel Prosthesis; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D007083:Iliac Artery; D007511:Ischemia / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D013921:Thrombocytopenia / Q000139:chemically induced; D013927:Thrombosis / Q000150:complications / Q000209:etiology*
chemical_list: D006493:Heparin
vernacular_title: Ischémie aiguë des membres par syndrome du caillot blanc après chirurgie cardiaque.