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- Paul Tauzi, Corentin Aubourg, Simon Dang Van, Antoine Gros, Cyril Sargentini, and Emmanuel Rineau.
- From the Departments of Department of Anaesthesia and Critical Care, Angers University Hospital, Angers, France.
- A A Pract. 2024 Apr 1; 18 (4): e01767e01767.
AbstractPulmonary embolism is a common complication after intracranial hemorrhage. As thrombolysis is contraindicated in this situation, surgical pulmonary embolectomy may be indicated in case of high-risk pulmonary embolism but requires transient anticoagulation with heparin during cardiopulmonary bypass. We report the case of a patient with a history of heparin-induced thrombocytopenia who presented with a high-risk pulmonary embolism 10 days after the spontaneous onset of a voluminous intracerebral hematoma. Despite high doses of heparin required to run the cardiopulmonary bypass and subsequent anticoagulation by danaparoid sodium, the brain hematoma remained stable and the patient was discharged without complications 30 days after surgery.Copyright © 2024 International Anesthesia Research Society.
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