Inferior vena cava thrombectomy in a patient with heparin-induced thrombocytopenia via inflow occlusion technique on beating heart

Anticoagulation management of a patient complicated by heparin-induced thrombocytopenia is one of the challenging situations in open heart surgery. A 40-year old male receiving warfarin for anticoagulation was admitted to our clinic with a history of heparin-induced thrombocytopenia and a diagnosis...

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Bibliographic Details
Published inInteractive cardiovascular and thoracic surgery Vol. 15; no. 4; pp. 774 - 776
Main Authors Cingoz, Faruk, Tavlasoglu, Murat, Ali Sahin, Mehmet, Kurkluoglu, Mustafa
Format Journal Article
LanguageEnglish
Published England Oxford University Press 01.10.2012
Subjects
Adult
Anticoagulants - administration & dosage
Anticoagulants - adverse effects
Case Reports
Drug Administration Schedule
Drug Substitution
Heparin - adverse effects
Humans
Male
Polysaccharides - administration & dosage
Thrombectomy - methods
Thrombocytopenia - chemically induced
Treatment Outcome
Vena Cava, Inferior - surgery
Venous Thrombosis - surgery
Warfarin - administration & dosage
Caval thrombectomy
Inflow occlusion
Fondaparinux sodium
Heparin-induced thrombocytopenia
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Summary:Anticoagulation management of a patient complicated by heparin-induced thrombocytopenia is one of the challenging situations in open heart surgery. A 40-year old male receiving warfarin for anticoagulation was admitted to our clinic with a history of heparin-induced thrombocytopenia and a diagnosis of inferior caval thrombosis. He was scheduled for inferior vena cava thrombectomy via the inflow occlusion technique on the beating heart. Warfarin sodium was stopped three days prior to the operation while fondaparinux sodium was begun twice a day. The operation was successfully performed and no postoperative complications were observed.
ISSN:1569-9293
1569-9285
DOI:10.1093/icvts/ivs329