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- Andreas Koster, Stephan Ensminger, Marios Vlachojannis, and Ingvild Birschmann.
- Institute of Anesthesiology, Heart and Diabetes Center NRW, Bad Oeynhausen, Ruhr-University Bochum, Germany. Electronic address: akoster@hdz-nrw.de.
- J Clin Anesth. 2016 Sep 1; 33: 373-5.
AbstractThe occurrence of lupus anticoagulant is associated with the hazard of developing an antiphospholipid syndrome, a severe prothrombotic condition which may particularly occur after major surgical trauma. This disease requires certain considerations regarding surgical strategy and anticoagulation management. We describe the perioperative management of a patient scheduled for elective aortic valve replacement and diagnosed for having antiphospholipid antibodies. The procedure was successfully performed using a minimally invasive approach via transapical aortic valve replacement and anticoagulation with the nonreversible short-acting direct thrombin Inhibitor bivalirudin.Copyright © 2016 Elsevier Inc. All rights reserved.
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