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Ann Thorac Surg 2005;79:1388-1390
© 2005 The Society of Thoracic Surgeons


Case report

Heparin-Induced Thrombocytopenia Associated With Bilateral Adrenal Hemorrhage After Coronary Artery Bypass Surgery

Faisal G. Bakaeen, MB, BChira, Jon-Cecil M. Walkes, MDa, Michael J. Reardon, MD*,a

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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