Heparin-induced thrombocytopenia in a patient with acute thrombosis, acute aortic dissection and acute lower limb ischaemia
Authors:
M. Peteja 1,2
; J. Chmelo 1; J. Zuchnická 3; P. Zonča 2; M. Mazur 2
Authors place of work:
Cévní chirurgie, Vítkovická nemocnice, a. s., primář: MUDr. J. Chmelo
1; LF OSU a chirurgická klinika FN Ostrava, přednosta: Doc. MUDr. P. Zonča PhD., FRCS.
2; Ústav klinické hematologie FN Ostrava, přednosta: Prof. MUDr. R. Hájek, CSc.
3
Published in the journal:
Rozhl. Chir., 2013, roč. 92, č. 11, s. 650-653.
Category:
Case Report
Summary
This case report presents the course of illness, as well as the diagnosis and therapy, of acute thrombosis and abdominal aortic dissection after Fogarty thrombectomy with the symptoms of acute limb ischaemia in a 42-year-old female patient suffering from heparin-induced thrombocytopenia. HIT is a severe iatrogenic complication emerging after unfractionated or low molecular weight heparin administration, with rather easy diagnosis; however, it is often neglected due to the rarity of its occurrence.
Key words:
heparin-thrombocytopenia-platelets-abdominal aortic dissection-abdominal aortic thrombosis
Zdroje
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3. Riegerová B, Malý R, Lojík M, Raupach J, Chovanec V, et al. Heparinem indukovaná trombocytopenie II. typu u komplikované ileofemorální flebotrombózy léčené katétrem řízenou trombolýzou, Interv akut kardiologie 2008;7:74–77.
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9. Mantelas M, Antonitsis P, Kaitzis D, Hatzibaloglou A, Moros I. Spontaneous isolated dissection of the abdominal aorta:single-center experience, Interactive CardioVascular and Thoracic Surgery 2009;8:398–401.
10. Lo GK, Juhl D, Warkentin TE, Sigouin CS, Eichler P, el al. Evaluation of pretest clinical score (4 Ts) for the diagnosis of heparin-induced thrombocytopenia in two clinical settings. J Thromb Haemost 2006;4:759–65.
Štítky
Surgery Orthopaedics Trauma surgeryČlánok vyšiel v časopise
Perspectives in Surgery
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