Document Detail


Heparin-induced thrombocytopenia and thrombosis syndrome after cardiac surgery.
MedLine Citation:
PMID:  15051266     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A case report of multisystem organ failure and limb loss associated with coronary artery bypass is reported. Heparin-induced thrombocytopenia and thrombosis syndrome (HITTS) occurs in 1% to 2% of patients suffering from thrombocytopenia associated with heparin or heparinoid use, which amounts to less than 1.4% of the cardiac surgical population. It carries a risk of significant comorbidity and mortality. Providers involved in the care of such patients should be well versed in the etiology and potential complications of HITTS, the treatment options, and alternative modalities of anticoagulation available for use.
Authors:
Joseph DuBose; Michael Sutherland; Michael Moulton; Bhaktan Krishnan; Jerry Cohn; Jerry W Pratt
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Current surgery     Volume:  61     ISSN:  0149-7944     ISO Abbreviation:  Curr Surg     Publication Date:    2004 Mar-Apr
Date Detail:
Created Date:  2004-03-30     Completed Date:  2004-07-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7802123     Medline TA:  Curr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  209-12     Citation Subset:  IM    
Affiliation:
Department of Surgery, Keesler Medical Center, Keesler Air Force Base, Suite 1A132, 301 Fisher Street, MS 30534, USA.
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MeSH Terms
Descriptor/Qualifier:
Amputation
Anticoagulants / adverse effects*
Aortic Valve Stenosis / diagnosis,  surgery
Cecum / blood supply
Colectomy
Combined Modality Therapy
Coronary Artery Bypass / adverse effects*
Enzyme-Linked Immunosorbent Assay
Flow Cytometry
Heparin / adverse effects*
Hirudin Therapy
Humans
Ileostomy
Ischemia / diagnosis,  epidemiology,  etiology,  therapy
Leg / blood supply
Male
Middle Aged
Platelet Aggregation
Platelet Count
Risk Factors
Syndrome
Thrombocytopenia / blood,  diagnosis,  etiology*,  therapy
Thrombosis / blood,  diagnosis,  etiology*,  therapy
Chemical
Reg. No./Substance:
0/Anticoagulants; 9005-49-6/Heparin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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