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Ann Thorac Surg 1999;67:1775-1776
© 1999 The Society of Thoracic Surgeons

Case Reports

Immediate vein graft thrombectomy for acute occlusion after coronary artery bypass grafting

Adam E. Saltman, MD, PhDa, Walter H. Dzik, MDb, Sidney Levitsky, MDa

a Division of Cardiothoracic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA
b Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA

Accepted for publication November 2, 1998.

Address reprint requests to Dr Levitsky, Division of Cardiothoracic Surgery, Beth Israel Deaconess Medical Center, 110 Francis St, Suite 2C, Boston, MA 02215
e-mail: slevitsk{at}bidmc.harvard.edu

A 76-year-old man underwent coronary bypass grafting 3 days after exposure to heparin. Immediately after chest closure, he developed acute graft thrombosis and cardiac arrest in the setting of thrombocytopenia. Immediate graft thrombectomies were performed. Postoperative tests for heparin-induced thrombocytopenia and thrombosis (HITT) were positive. This case represents a dramatic example of HITT after coronary revascularization.






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