Heparin-induced thrombocytopenia associated with bilateral adrenal hemorrhage after coronary artery bypass surgery.
Heparin-induced thrombocytopenia (HIT) is a well-recognized syndrome associated with thrombosis and multiple potential clinical sequelae. We report a case of bilateral adrenal hemorrhage, a known but rare complication of heparin-induced thrombocytopenia complicating a routine coronary artery bypass surgery. Thrombocytopenia, abdominal pain, and signs of adrenal insufficiency in the context of heparin treatment should raise suspicion of this unusual complication.
Bakaeen
Faisal G
FG
Department of Surgery, The Methodist Hospital, Houston, Texas, USA.
Walkes
Jon-Cecil M
JC
Reardon
Michael J
MJ
D000307:Adrenal Gland Diseases / Q000209:etiology*; D000925:Anticoagulants / Q000009:adverse effects*; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D006470:Hemorrhage / Q000209:etiology*; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013921:Thrombocytopenia / Q000139:chemically induced* / Q000150:complications; D014859:Warfarin / Q000627:therapeutic use
D000925:Anticoagulants; D014859:Warfarin; D006493:Heparin