title: Recurrent left atrial and left ventricular thrombosis due to heparin-induced thrombocytopenia: case report and short review.
abstract: The combination of heparin-induced thrombocytopenia (HIT) II, left ventricular failure with extracorporeal membrane oxygenation (ECMO) therapy, and recurrent left ventricular thrombosis is rare and predicts a poor outcome. In this case, HIT II occurred after an ischemic cardiogenic shock. We initiated ECMO and intra-aortic balloon pump therapy during coronary artery bypass grafting and ventricular thrombectomy. Despite continued therapeutic therapy with heparin and later argatroban, the patient developed solid and recurrent thrombotic masses in the left atrium and left ventricle.
authors: HELIOS Klinikum Krefeld, Department of Cardiology (Med. Klinik I) Krefeld, Germany.
authors: Thomas
authors: T
authors: Kuhl
authors: Stefanie
authors: S
authors: Wendt
authors: Georg
authors: G
authors: Langebartels
authors: Axel
authors: A
authors: Kröner
authors: Thorsten
authors: T
authors: Wahlers
mesh_terms: D000925:Anticoagulants / Q000009:adverse effects* / Q000627:therapeutic use; D001026:Coronary Artery Bypass; D015199:Extracorporeal Membrane Oxygenation / Q000009:adverse effects; D017809:Fatal Outcome; D006331:Heart Diseases / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D006493:Heparin / Q000009:adverse effects*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012770:Shock, Cardiogenic / Q000628:therapy*; D017131:Thrombectomy; D013921:Thrombocytopenia / Q000139:chemically induced* / Q000175:diagnosis; D013927:Thrombosis / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants; D006493:Heparin