• Tex Heart Inst J · Jan 2008

    Case Reports

    Intraoperative anticoagulation management during cardiac transplantation for a patient with heparin-induced thrombocytopenia and a left ventricular assist device.

    • Yasmin Wadia, John R Cooper, Arthur W Bracey, Katheleen Pinto, and O H Frazier.
    • Department of Cardiopulmonary Transplantation and the Center for Cardiac Support, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas 77225-0345, USA. yasminwadia@yahoo.com
    • Tex Heart Inst J. 2008 Jan 1; 35 (1): 62-5.

    AbstractHeparin-induced thrombocytopenia is an immunologically mediated syndrome that is associated with potentially life-threatening arterial and venous thrombosis. Re-exposing patients who have heparin-induced thrombocytopenia to heparin during cardiopulmonary bypass may be hazardous. We describe the re-exposure to unfractionated heparin of a patient with a left ventricular assist device and evidence of heparin-induced thrombocytopenia who needed cardiac transplantation, which was accomplished without complications.

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