• A&A practice · Dec 2018

    Case Reports

    Epoprostenol Therapy for a Pediatric Patient With Subacute Heparin-Induced Thrombocytopenia and a Ventricular Assist Device Undergoing Heart Transplant: A Case Report.

    • Manchula Navaratnam, Glyn D Williams, Paul Shuttleworth, Chris Almond, and Katsuide Maeda.
    • From the Department of Anesthesiology, Perioperative and Pain Medicine.
    • A A Pract. 2018 Dec 15; 11 (12): 329-331.

    AbstractConcerns remain regarding the use of direct thrombin inhibitors for cardiopulmonary bypass anticoagulation in pediatric patients with heparin-induced thrombocytopenia undergoing complex cardiac surgery. We describe the safe and effective use of epoprostenol sodium as an alternative therapy before heparin exposure for a pediatric patient with subacute heparin-induced thrombocytopenia and a ventricular assist device undergoing heart transplant.

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