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Eur J Cardiothorac Surg · Apr 2001
Case ReportsBudd--Chiari syndrome and heparin-induced thrombocytopenia.
- T Carrel, P Berdat, J Schmidli, and E Gygax.
- Clinic for Cardiovascular Surgery, University Hospital, CH-3010 Berne, Switzerland. thierry.carrel@insel.ch
- Eur J Cardiothorac Surg. 2001 Apr 1; 19 (4): 525-7.
AbstractWe report on a patient suffering from Budd--Chiari disease who developed heparin-induced thrombocytopenia preoperatively. Dorsocranial liver resection and hepatoatrial anastomosis were performed with the extracorporeal circulation and perioperative anticoagulation was achieved with r-hirudin. Surprisingly, thrombus formation was observed in the venous reservoir although ACT was 590 s and aPTT 55 s. An additional bolus of hirudin and rinsing the reservoir allowed unproblematic discontinuation of the cardiopulmonary bypass.
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