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Left ventricular assist device implantation after plasma exchange for heparin-induced thrombocytopenia

Shintaroh Koizumi1, Hiroki Kohno2, Michiko Watanabe3

  • 1Department of Cardiovascular Surgery, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba, 260-0856, Japan. shin.shintaroh@gmail.com.

Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs
|June 26, 2018
PubMed

Treating a patient with heparin-induced thrombocytopenia can be challenging particularly when the patient requires urgent cardiac surgery that uses heparin for anticoagulation. We herein report a case of a 61-year-old man with idiopathic dilated cardiomyopathy associated with heparin-induced thrombocytopenia and who underwent plasma exchange to remove heparin-induced thrombocytopenia antibodies before undergoing left ventricular assist device implantation. The surgery was performed using cardiopulmonary bypass and unfractionated heparin.

Keywords:
Heparin-induced thrombocytopeniaLeft ventricular assist devicePlasma exchange

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