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Frédéric Collart
Thierry G. Mesana
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Ann Thorac Surg 2003;76:617-619
© 2003 The Society of Thoracic Surgeons

Case report

Regression of intracardiac heparin-induced thrombosis after aortic root surgery

Frédéric Collart, MDa*, David Derouck, MDa, Francois Kerbaul, MDa, Horea Feier, MDa, Thierry G. Mesana, PhDa

a Department of Cardiac Surgery, Hôpital de la Timone, University of Marseille, Marseille, France

Accepted for publication January 12, 2003.

* Address reprint requests to Dr Collart, Service de Chirurgie Cardiaque, Hôpital de la Timone, 264 rue St. Pierre, 13385 Marseille Cx 05, France
e-mail: fcollart{at}univ-aix.fr

Heparin-induced thrombocytopenia and thrombosis syndrome (type II) is associated with thromboembolic complications and a mortality rate up to 30%. We describe a patient who developed intracardiac and aortic Dacron prosthesis heparin-induced thrombosis after aortic root conservative surgery. Successive transoesophageal echocardiographies demonstrated a progressive regression of intracardiac thrombosis with oral anticoagulation by warfarin and antiplatelet therapy combining aspirin and clopidogrel.






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Copyright © 2003 by The Society of Thoracic Surgeons.