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Ann Thorac Surg 2005;79:1388-1390
© 2005 The Society of Thoracic Surgeons
a Department of Surgery, The Methodist Hospital, Houston, Texas, USA
Accepted for publication September 22, 2003.
* Address reprint requests to Dr Reardon, 6560 Fannin St, #1002, Houston, TX 77030-2761, USA
mreardon{at}tmh.tmc.edu
Heparin-induced thrombocytopenia (HIT) is a well-recognized syndrome associated with thrombosis and multiple potential clinical sequelae. We report a case of bilateral adrenal hemorrhage, a known but rare complication of heparin-induced thrombocytopenia complicating a routine coronary artery bypass surgery. Thrombocytopenia, abdominal pain, and signs of adrenal insufficiency in the context of heparin treatment should raise suspicion of this unusual complication.
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