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Lupus anticoagulant and off-pump coronary bypass: dilemma of anticoagulation
Madan M Maddali1, Maher J Albahrani
1Department of Anesthesia, Royal Hospital, PB No: 1331, PC: 111, Seeb, Muscat, Sultanate of Oman. madan@omantel.net.om
Confronted with a persistently elevated activated partial thromboplastin time due to circulating lupus anticoagulant in a patient undergoing emergency off-pump coronary artery bypass surgery, the dilemma of providing adequate anticoagulation for a short cardiac surgical procedure is highlighted.
Confronted with a persistently elevated activated partial thromboplastin time due to circulating lupus anticoagulant in a patient undergoing emergency off-pump coronary artery bypass surgery, the dilemma of providing adequate anticoagulation for a short cardiac surgical procedure is highlighted.
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