Heparin-induced Thrombocytopenia after Open Heart Surgery Triggered by Heparin Flush Related to Central Venous Catheter Insertion: A Case Report

DOI IR IR (HANDLE) Web Site Web Site 5 References Open Access
  • Murata Miyuki
    Department of Cardiovascular Surgery Japanese Nurse Practitioner, National Hospital Organization Takasaki General Medical Center
  • Tsuda Yasutoshi
    Department of Cardiovascular Surgery, Yamanashi prefectual Central Hospital
  • Mohara Jun
    Department of Cardiovascular Surgery, National Hospital Organization Takasaki General Medical Center
  • Koyano Tetsuya
    Department of Cardiovascular Surgery, National Hospital Organization Takasaki General Medical Center
  • Takahashi Toru
    Department of Cardiovascular Surgery, Kurosawa Hospital
  • Uchiyama Toshimasa
    Department of Laboratory Medicine, National Hospital Organization Takasaki General Medical Center

Bibliographic Information

Other Title
  • 中心静脈カテーテル挿入に関連するヘパリン投与が契機となった開心術後のヘパリン起因性血小板減少症（HIT）の１例
  • チュウシン ジョウミャク カテーテル ソウニュウ ニ カンレン スル ヘパリン トウヨ ガ ケイキ ト ナッタ カイシンジュツ ゴ ノ ヘパリン キインセイ ケッショウバン ゲンショウショウ(HIT)ノ 1レイ

Search this article

Description

<p>An 85-year-old woman was rushed to our hospital with chest and back pain. She was diagnosed with an acute dissecting aortic aneurysm and treated with conservative therapy, but re-dissection was observed. On the sixth hospitalization day, she underwent emergency ascending aortic artery replacement. On the third postoperative day, she developed extensive cerebral infarction. Thereafter, on the fourth postoperative day, platelets were markedly reduced and heparin-induced thrombocytopenia (HIT) was suspected. After close examination, the diagnosis of HIT was confirmed. Argatroban administration was started; no new thrombosis developed, and the patient was transferred to another hospital for rehabilitation on the 49th postoperative day. The interval between heparin exposure and thrombocytopenia suggests that the HIT was triggered by heparin flush at CVC insertion.</p>

Journal

References(5)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top