title: Off-pump coronary artery bypass grafting for acute heparin-induced thrombocytopenia.
abstract: Surgical revascularization of coronary arteries is problematic for patients with heparin-induced thrombocytopenia because the available nonheparin anticoagulants cannot be reversed pharmacologically. We used three-vessel off-pump coronary artery bypass grafting in a patient with heparin-induced thrombocytopenia, as it allowed us to use substantially lower doses of nonheparin anticoagulant (danaparoid sodium), compared with procedures requiring cardiopulmonary bypass.
authors.affiliation: Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Ontario, Canada.
authors.forename: T E
authors.initials: TE
authors.lastname: Warkentin
authors.forename: G L
authors.initials: GL
authors.lastname: Dunn
authors.forename: I J
authors.initials: IJ
authors.lastname: Cybulsky
mesh_terms: D000208:Acute Disease; D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects*; D001026:Coronary Artery Bypass / Q000379:methods*; D005260:Female; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D013921:Thrombocytopenia / Q000139:chemically induced* / Q000601:surgery*
chemical_list: D000925:Anticoagulants; D006493:Heparin