| Autor: |
Masahiro, Ryugo, Norio, Mouri, Shigeaki, Kurita, Kazunobu, Hara, Masashi, Tagaya |
| Rok vydání: |
2015 |
| Předmět: |
|
| Zdroj: |
Kyobu geka. The Japanese journal of thoracic surgery. 68(6) |
| ISSN: |
0021-5252 |
| Popis: |
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. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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