Intraoperative antiaggregant strategy for off-pump coronary artery bypass grafting in a patient with heparin-induced thrombocytopenia.
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.
Zanobini
Marco
M
Department of Cardiac Surgery, University of Milan, Milan, Italy.
Barili
Fabio
F
Alamanni
Francesco
F
Dainese
Luca
L
Stringi
Vincenzo
V
Cappai
Antioco
A
Dell'orto
Margherita
M
Porqueddu
Massimo
M
Roberto
Maurizio
M
Kassem
Samer
S
Pompilio
Giulio
G
Biglioli
Paolo
P
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*
D000925:Anticoagulants; D010975:Platelet Aggregation Inhibitors; D006493:Heparin