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The Annals of Thoracic Surgery, Vol 57, 1326-1328, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Successful treatment of massive pulmonary embolism after coronary artery bypass grafting due to heparin-induced thrombocytopenia

AC Ralph-Edwards, CM Feindel and MF Glynn
Department of Cardiovascular Surgery, University of Toronto, Toronto Hospital, Ont., Canada.

Massive pulmonary embolism is a rare complication in patients undergoing coronary artery bypass grafting. Frequently patients have had exposure to heparin before the operation. In this article we report a patient who 6 days after a cardiac operation suffered a massive pulmonary embolism. The patient was later discovered to have heparin- associated thrombocytopenia with serum heparin antibody. We recommend patients receiving heparin have frequent platelet counts and those with induced thrombocytopenia undergo sensitivity testing.


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Perfusion, May 1, 2000; 15(3): 257 - 260.
[Abstract] [PDF]


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