title: Intraoperative antiaggregant strategy for off-pump coronary artery bypass grafting in a patient with heparin-induced thrombocytopenia.
abstract: Immune heparin-induced thrombocytopenia is a rare complication of heparin administration. We describe a patient with a previous diagnosis of heparin-induced thrombocytopenia and related contraindications to anticoagulation who underwent urgent off-pump myocardial revascularization with the administration of only antiaggregant therapy.
authors.affiliation: Department of Cardiac Surgery, University of Milan, Milan, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Zanobini
authors.forename: Fabio
authors.initials: F
authors.lastname: Barili
authors.forename: Francesco
authors.initials: F
authors.lastname: Alamanni
authors.forename: Luca
authors.initials: L
authors.lastname: Dainese
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Stringi
authors.forename: Antioco
authors.initials: A
authors.lastname: Cappai
authors.forename: Margherita
authors.initials: M
authors.lastname: Dell'orto
authors.forename: Massimo
authors.initials: M
authors.lastname: Porqueddu
authors.forename: Maurizio
authors.initials: M
authors.lastname: Roberto
authors.forename: Samer
authors.initials: S
authors.lastname: Kassem
authors.forename: Giulio
authors.initials: G
authors.lastname: Pompilio
authors.forename: Paolo
authors.initials: P
authors.lastname: Biglioli
mesh_terms: D000925:Anticoagulants / Q000009:adverse effects*; D001026:Coronary Artery Bypass; D047549:Coronary Artery Bypass, Off-Pump; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D007430:Intraoperative Care; D008297:Male; D008875:Middle Aged; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use*; D013921:Thrombocytopenia / Q000139:chemically induced*
chemical_list: D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors; D006493:Heparin