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Ann Thorac Surg 1994;57:1656-1658
© 1994 The Society of Thoracic Surgeons

Articles

Heparinless cardiopulmonary bypass with ancrod

Albert H. O-Yurvati, DO*,a,b, Glenn W. Laub, MDa,b, Theodore J. Southgate, MDa,b, Lynn B. McGrath, MDa,b

a Division of Cardiothoracic Surgery, Department of Surgery, Deborah Heart and Lung Center, Browns Mills, New Jersey, USA
b Department of Surgery, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA

Accepted for publication September 16, 1993.

* Address reprint requests to Dr O-Yurvati, Deborah Heart and Lung Center, Browns Mills, NJ 08015-1799.

A case is reported of a 22-year-old man with heparininduced thrombocytopenia and thrombosis syndrome and a right atrial foreign body (Greenfield filter). Heparinless cardiopulmonary bypass for removal of the foreign body was conducted by pretreatment with ancrod, a rapid-acting antifibrinolytic of pit viper venom origin. Treatment protocol and a literature review are included in this article.




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