[Acute ischemia of the legs caused by white clot syndrome after cardiac surgery].
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.
Tremblay
B
B
Service de chirurgie cardiovasculaire, Hôpital Broussais, Paris.
Acar
C
C
Jebara
V
V
Deloche
A
A
Fiessinger
J N
JN
Carpentier
A
A
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*
D006493:Heparin
Ischémie aiguë des membres par syndrome du caillot blanc après chirurgie cardiaque.