Cutaneous microangiopathic thrombosis complicated by pyoderma gangrenosum in post-cardiac surgery heparin-induced thrombocytopaenia.
Thrombotic cutaneous gangrene is a rare complication of heparin-induced thrombocytopaenia after cardiac surgery. We report a case and discuss management issues with cardiopulmonary bypass for cardiac surgery in this condition.
Luthra
Suvitesh
S
Department of Cardiothoracic Surgery, Royal Melbourne Hospital, University of Melbourne, Melbourne, Australia. suviteshluthra@yahoo.com
Theodore
Sanjay
S
Liava'a
Matthew
M
Atkinson
Victoria
V
Tatoulis
James
J
D000368:Aged; D001024:Aortic Valve Stenosis / Q000601:surgery; D001323:Autoantibodies; D002315:Cardiopulmonary Bypass; D017984:Enoxaparin / Q000009:adverse effects*; D005260:Female; D005343:Fibrinolytic Agents / Q000009:adverse effects*; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000601:surgery; D011182:Postoperative Care / Q000009:adverse effects*; D017511:Pyoderma Gangrenosum / Q000209:etiology*; D013921:Thrombocytopenia / Q000139:chemically induced* / Q000150:complications / Q000276:immunology; D020246:Venous Thrombosis / Q000209:etiology
D001323:Autoantibodies; D017984:Enoxaparin; D005343:Fibrinolytic Agents