[Hemorrhage after accidental overdosage of enoxaparin: monitoring and therapy]. / Kasuistik - Hämorrhagie nach akzidenteller Überdosierung mit Enoxaparin: Monitoring und Therapie.

At the morning of the sixth postoperative day after a complex cardiac surgery procedure, a patient accidentally received a subcutaneous injection of 450 mg Enoxaparin sodium (Clexane®, Sanofi GmbH, Frankfurt, Germany). A few hours later an excessive coagulopathy developed and necessitated the transfusion of allogenic blood products. The present case report describes and discusses our diagnostic and therapeutic approaches.