title: Thromboelastograph guided management of a patient requiring Abiomed biventricular support with consumptive coagulopathy.
abstract: A 69-year-old male, who underwent cardio-pulmonary bypass surgery, required biventricular support using the Abiomed. The patient subsequently developed a consumptive coagulopathy. The thromboelastograph was used to administer NovoSeven and guide allogenic transfusions to achieve a hematocrit of greater than 30% and a platelet count greater than 100,000 per microL. Disseminated intravascular coagulation was resolved and the patient was transported to a tertiary care center within 72 hours. The Abiomed BVS 5000 provided a bridge to the native heart recovery and was successfully explanted.
authors: Perfusion Department, Firelands Regional Medical Center, 1111 Hayes Avenue, Sandusky, OH 44870, USA. dagandhi1@gmail.com
authors: Darshit Atul
authors: DA
authors: Gandhi
authors: Timothy
authors: T
authors: Shrewsberry
mesh_terms: D000368:Aged; D002315:Cardiopulmonary Bypass / Q000009:adverse effects*; D003658:Decision Making, Computer-Assisted; D004211:Disseminated Intravascular Coagulation / Q000628:therapy*; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000628:therapy; D013813:Therapy, Computer-Assisted; D013916:Thrombelastography / Q000379:methods*