Protamine Induced Anaphylactic Shock after Peripheral Vascular Surgery

Maxim Peeters; Alaaddin Yilmaz; Jos Vandekerkhof; Abdullah Kaya

doi:10.1016/j.avsg.2020.06.016

Protamine Induced Anaphylactic Shock after Peripheral Vascular Surgery

Ann Vasc Surg. 2020 Nov:69:450.e13-450.e15. doi: 10.1016/j.avsg.2020.06.016. Epub 2020 Jun 15.

Authors

Maxim Peeters¹, Alaaddin Yilmaz², Jos Vandekerkhof³, Abdullah Kaya²

Affiliations

¹ Department of Vascular Surgery, Jessa Hospital, Hasselt, Belgium. Electronic address: maxim.peeters@jessazh.be.
² Department of Cardiothoracic Surgery, Jessa Hospital, Hasselt, Belgium.
³ Department of Vascular Surgery, Jessa Hospital, Hasselt, Belgium.

PMID: 32554194
DOI: 10.1016/j.avsg.2020.06.016

Abstract

Anaphylactic reactions to protamine are quite rare and almost exclusively reported during cardiac surgery. In this report, we illustrate a rare case of protamine reaction after peripheral vascular surgery a couple of months after cardiac surgery and how the patient survived this critical complication.

Publication types

Case Reports

MeSH terms

Aged
Anaphylaxis / chemically induced*
Anaphylaxis / diagnosis
Anaphylaxis / physiopathology
Anaphylaxis / therapy
Cardiopulmonary Resuscitation
Coronary Artery Bypass*
Coronary Artery Disease / diagnostic imaging
Coronary Artery Disease / surgery*
Drug Hypersensitivity / diagnosis
Drug Hypersensitivity / etiology*
Drug Hypersensitivity / physiopathology
Drug Hypersensitivity / therapy
Extracorporeal Membrane Oxygenation
Heparin Antagonists / adverse effects*
Humans
Male
Peripheral Arterial Disease / diagnostic imaging
Peripheral Arterial Disease / surgery*
Protamines / adverse effects*
Treatment Outcome
Vascular Grafting*

Substances

Heparin Antagonists
Protamines