ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Todd K. Rosengart
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Munver, R.
Right arrow Articles by Rosengart, T. K.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Munver, R.
Right arrow Articles by Rosengart, T. K.

Ann Thorac Surg 1994;58:1764-1766
© 1994 The Society of Thoracic Surgeons

Articles

Heparin-induced thrombocytopenia and thrombosis: Presentation after cardiopulmonary bypass

Ravi Munver, BS, Ira C. Schulman, MD, David J. Wolf, MD, Todd K. Rosengart, MD*

The New York Hospital-Cornell University Medical College, New York, New York USA

Accepted for publication April 12, 1994.

* Address reprint requests to Dr Rosengart, The New York Hospital, 525 E 68th St. New York, NY 10021.

Heparin-induced thrombocytopenia and thrombosis syndrome was diagnosed in a 63-year-old woman 11 days after coronary artery bypass grafting. Her only presenting complaints were incisional leg pain and vague chest discomfort. The syndrome was suspected when her platelet count was found to be 37,000/µL. A subsequent ventilation-perfusion lung scan showed findings highly probable for pulmonary embolism. An inferior venacavogram obtained before a pulmonary angiogram revealed a large retrohepatic thrombus at the right atrial junction. The patient was successfully treated with the defibrinogenating agent ancrod (Arvin). A diagnosis of heparin-induced thrombocytopenia and thrombosis syndrome should be considered and heparin therapy should be avoided in patients with low platelet counts who have been previously treated with heparin.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
F. Collart, D. Derouck, F. Kerbaul, H. Feier, and T. G. Mesana
Regression of intracardiac heparin-induced thrombosis after aortic root surgery
Ann. Thorac. Surg., August 1, 2003; 76(2): 617 - 619.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
T. L. Bauer, G. Arepally, B. A. Konkle, B. Mestichelli, S. S. Shapiro, D. B. Cines, M. Poncz, S. McNulty, J. Amiral, W. W. Hauck, et al.
Prevalence of Heparin-Associated Antibodies Without Thrombosis in Patients Undergoing Cardiopulmonary Bypass Surgery
Circulation, March 4, 1997; 95(5): 1242 - 1246.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
M. J. Wilhelm, C. Schmid, D. Kececioglu, T. Mollhoff, H. Ostermann, and H. H. Scheld
Cardiopulmonary Bypass in Patients With Heparin-Induced Thrombocytopenia Using Org 10172
Ann. Thorac. Surg., March 1, 1996; 61(3): 920 - 924.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1994 by The Society of Thoracic Surgeons.