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Thorac Cardiovasc Surg · Sep 2013
Review Case ReportsRecurrent left atrial and left ventricular thrombosis due to heparin-induced thrombocytopenia: case report and short review.
- Thomas Kuhl, Stefanie Wendt, Georg Langebartels, Axel Kröner, and Thorsten Wahlers.
- HELIOS Klinikum Krefeld, Department of Cardiology (Med. Klinik I) Krefeld, Germany.
- Thorac Cardiovasc Surg. 2013 Sep 1;61(6):537-40.
AbstractThe combination of heparin-induced thrombocytopenia (HIT) II, left ventricular failure with extracorporeal membrane oxygenation (ECMO) therapy, and recurrent left ventricular thrombosis is rare and predicts a poor outcome. In this case, HIT II occurred after an ischemic cardiogenic shock. We initiated ECMO and intra-aortic balloon pump therapy during coronary artery bypass grafting and ventricular thrombectomy. Despite continued therapeutic therapy with heparin and later argatroban, the patient developed solid and recurrent thrombotic masses in the left atrium and left ventricle.Georg Thieme Verlag KG Stuttgart · New York.
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