Browse > Article

Open Heart Surgery in Patient with Heparin- Induced Thrombocytopenia  

송석원 (연세대학교 의과대학 심장혈관병원 심장혈관외과)
홍유선 (연세대학교 의과대학 심장혈관병원 심장혈관외과)
곽영란 (연세대학교 의과대학 마취과학 교실)
안신기 (연세대학교 의과대학 내과학 교실)
Publication Information
Journal of Chest Surgery / v.35, no.6, 2002 , pp. 475-478 More about this Journal
Abstract
A 45 year old man was admitted for aggravated dyspnea, abdominal distension and poor oral intake. On Echocardiogram, mitral stenosis(severe), tricuspid regurgitaion(IV), and LA thrombus were diagnosed. We used heparin with continuous infusion for prevention of systemic thrombo embolism. On the 11th day of admission, the patient showed thrombocytopenia and we suspected Heparin-induced thrombocytopenia. Hirudin was used in this case as alternative anticoagulant during cardiopulmonary bypass to prevent serious complication of heparin. The patient was recovered without any complication as postoperative bleeding or systemic thromboembolism.
Keywords
Heparin-induced thrombocytopenia; Cardiopulmonary Bypass; Hirudin;
Citations & Related Records
연도 인용수 순위
  • Reference
1 The development of hirudin as an antithrombotic drug /
[ Markwardt F ] / Thromb Res   DOI   ScienceOn
2 A rapid and senstitve test for diagnosing heparin-associated thrombocytopenia /
[ Greinacher A;Michels I;Kiefel V;Mueller-Eckhardt C ] / Thromb Haemost
3 Complications from heparin-induced thrombocytopenia in patients undergoing cardiopulmonary bypass /
[ Singer RL;Mannion JD;Bauer TL;Armenti FR;Edie RN ] / Chest   DOI   ScienceOn
4 Heparin-induced thrombocytopenia: Pathogenesis, frequency, avoidance and management /
[ Warkentin TE ] / Drug Safety   DOI   ScienceOn
5 Clinical usefulness of testing of testing for a herparin-dependent platelet-aggregating factor in patients with suspected heparin-associated thrombocytopenia /
[ Kelton JG;Sheridan D;Brain H;Powers PJ;Tupie AG;Carter CJ ] / J Lab Clin Med
6 Heparin-induced thrombocytopenia in open heart surgical patients: sequele of late recognition /
[ Walls JT;Curtis JJ;Silver D;Boley TM;Schmaltz RZ;Nawarawong W ] / Ann Thorac Surg   DOI   ScienceOn
7 Heparin-induced thrombocytopenia in patients who undergo open heart surgery /
[ Walls JT;Curtis JJ;Silver D;Boley TM ] / Surgery
8 Heparin-associated thrombocytopenia: observations on the mechanism of platelet aggregation /
[ Adelman B;Sobel M;Fujimura Y;Ruggeri ZM;Zimmerman TS ] / J Lab Clin Med