[Rapid Rise of Trans-oxygenerator Pressure Gradient Accompanied by Rapid Decrease of Platelet Counts During Open-heart Surgery].
Kyobu Geka
; 68(6): 439-41, 2015 Jun.
Article
em Ja
| MEDLINE
| ID: mdl-26066875
ABSTRACT
A 77-year-old male patient with 2-vessel coronary artery disease and previous myocardial infarction underwent on-pump coronary artery bypass grafting (CABG). Following systemic heparinization, cardiopulmonary bypass using heparin coated circuit was started. Ten minutes after starting the cardiopulmonary bypass, the trans-oxygenerator pressure gradient rapidly increased accompanied by a rapid decrease of platelet counts. Emergency replacement of cardiopulmonary bypass circuit with a non-heparin coated one was performed because the development of heparin induced thrombocytepenia (HIT) was strongly suspected. On-pump CABG was accomplished as planned, and the postoperative course was uneventful. HIT might be ruled out as HIT specific antibodies were not detected in the intraoperative serum samples.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Heparina
/
Procedimentos Cirúrgicos Cardíacos
/
Anticoagulantes
Limite:
Aged
/
Humans
/
Male
Idioma:
Ja
Revista:
Kyobu Geka
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Japão