HITT and stent thrombosis: a "clinical" diagnosis not to be missed.
Heparin induced thrombocytopenia and thrombosis (HITT) syndrome is a rare but potentially life threatening disorder, which is increasingly recognized with the widespread use of heparin. We report a rare case of early stent thrombosis secondary to HITT in a patient initially presenting with cardiogenic shock, which occurred 9 days after primary bare metal stent implantation due to subcutaneous heparin exposure. The most important factor in detection of HITT remains a high index of clinical suspicion and close monitoring of the temporal trend of thrombocytopenia, particularly when trying to distinguish HITT from other sources of thrombocytopenia seen in critically ill patients.
Hussain
Farrukh
F
Philipp
Roger
R
Zieroth
Shelley
S
D000328:Adult; D023921:Coronary Stenosis / Q000628:therapy*; D006083:Graft Occlusion, Vascular / Q000139:chemically induced* / Q000175:diagnosis; D006493:Heparin / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D008297:Male; D015607:Stents; D013577:Syndrome; D013921:Thrombocytopenia / Q000139:chemically induced* / Q000175:diagnosis; D013927:Thrombosis / Q000139:chemically induced* / Q000175:diagnosis
D006493:Heparin