Heparin-induced thrombocytopenia presenting with thrombosis of multiple saphenous vein grafts and myocardial infarction

Am J Hematol. 2004 Aug;76(4):383-5. doi: 10.1002/ajh.20114.

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.

Publication types

  • Case Reports

MeSH terms

  • Angina Pectoris / surgery
  • Angioplasty, Balloon
  • Anticoagulants / administration & dosage
  • Anticoagulants / adverse effects*
  • Anticoagulants / therapeutic use
  • Autoantibodies / blood
  • Autoantibodies / immunology
  • Autoantigens / immunology
  • Autoimmune Diseases / chemically induced*
  • Autoimmune Diseases / immunology
  • Cardiac Catheterization
  • Coronary Artery Bypass* / methods
  • Coronary Restenosis / complications
  • Coronary Restenosis / therapy
  • Drug Therapy, Combination
  • Eptifibatide
  • Heparin, Low-Molecular-Weight / administration & dosage
  • Heparin, Low-Molecular-Weight / adverse effects*
  • Heparin, Low-Molecular-Weight / therapeutic use
  • Hirudins / analogs & derivatives
  • Humans
  • Internal Mammary-Coronary Artery Anastomosis
  • Male
  • Middle Aged
  • Myocardial Infarction / etiology*
  • Peptides / administration & dosage
  • Peptides / therapeutic use
  • Platelet Factor 4 / immunology
  • Postoperative Complications / etiology*
  • Recombinant Proteins / therapeutic use
  • Recurrence
  • Saphenous Vein / transplantation
  • Stents
  • Thrombocytopenia / chemically induced*
  • Thrombocytopenia / complications
  • Thrombocytopenia / immunology
  • Thrombosis / etiology*

Substances

  • Anticoagulants
  • Autoantibodies
  • Autoantigens
  • Heparin, Low-Molecular-Weight
  • Hirudins
  • Peptides
  • Recombinant Proteins
  • Platelet Factor 4
  • Eptifibatide
  • lepirudin