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10.5606/tgkdc.dergisi.2012.171
Reoperation of a patient with the history of heparin-induced trombocytopenia
Levent Çetin, Ayşegül Kunt, Aslıhan Küçüker, Ozan Karakişi, Mete Hıdıroğlu, Erol Şener
Atatürk Eğitim ve Araştırma Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Ankara, Türkiye
DOI : 10.5606/tgkdc.dergisi.2012.171
Patients who have heparin-induced thrombocytopenia
(HIT) undergoing open heart surgery pose a particular
problem to the cardiac surgery team. Heparin is the gold
standard for anticoagulation for the patients who are
scheduled to undergo cardiopulmonary bypass. Several
management approaches with alternative anticoagulant
agents are available for the patients with HIT requiring
cardiopulmonary bypass. In this article, we present a
52-year-old male patient with mitral valve prosthesis
with a history of HIT undergoing reoperation and aortic
and tricuspid valve replacement in the light of literature
review.
Keywords : Anticoagulant therapy; cardiopulmonary bypass; heart valve; reoperation
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