Abstract
We report herein a patient with coronary artery disease that developed heparin-induced thrombocytopenia after coronary artery bypass graft with resulting thrombosis of multiple saphenous vein grafts and myocardial infarction after heparin exposure. The patient required lepirudin and a cardiac catheterization with placement of stents.
Copyright 2004 Wiley-Liss, Inc.
MeSH terms
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Angina Pectoris / surgery
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Angioplasty, Balloon
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Anticoagulants / administration & dosage
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Anticoagulants / adverse effects*
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Anticoagulants / therapeutic use
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Autoantibodies / blood
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Autoantibodies / immunology
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Autoantigens / immunology
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Autoimmune Diseases / chemically induced*
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Autoimmune Diseases / immunology
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Cardiac Catheterization
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Coronary Artery Bypass* / methods
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Coronary Restenosis / complications
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Coronary Restenosis / therapy
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Drug Therapy, Combination
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Eptifibatide
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Heparin, Low-Molecular-Weight / administration & dosage
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Heparin, Low-Molecular-Weight / adverse effects*
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Heparin, Low-Molecular-Weight / therapeutic use
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Hirudins / analogs & derivatives
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Humans
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Internal Mammary-Coronary Artery Anastomosis
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Male
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Middle Aged
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Myocardial Infarction / etiology*
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Peptides / administration & dosage
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Peptides / therapeutic use
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Platelet Factor 4 / immunology
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Postoperative Complications / etiology*
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Recombinant Proteins / therapeutic use
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Recurrence
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Saphenous Vein / transplantation
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Stents
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Thrombocytopenia / chemically induced*
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Thrombocytopenia / complications
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Thrombocytopenia / immunology
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Thrombosis / etiology*
Substances
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Anticoagulants
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Autoantibodies
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Autoantigens
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Heparin, Low-Molecular-Weight
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Hirudins
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Peptides
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Recombinant Proteins
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Platelet Factor 4
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Eptifibatide
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lepirudin