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Peripheral Thrombosis and Necrosis after Minimally Invasive Redo Mitral Valve Replacement due to Unknown Etiology: Difficult Diagnosis of Heparin Induced Thrombocytopenia
المؤلفون المشاركون
Bainbridge, Daniel T.
Kiaii, Bob
Nakamura, Yoshitsugu
المصدر
Case Reports in Vascular Medicine
العدد
المجلد 2015، العدد 2015 (31 ديسمبر/كانون الأول 2015)، ص ص. 1-3، 3ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2015-04-14
دولة النشر
مصر
عدد الصفحات
3
التخصصات الرئيسية
الملخص EN
We report on a 75-year-old male with acute onset of peripheral thrombosis causing necrosis of the fingers, elbow, and toes associated with thrombocytopenia after minimally invasive redo mitral valve replacement.
Both warfarin and dalteparin were commenced on postoperative day 1 and his INR reached 2.1 on postoperative day 4.
On postoperative day 5, the patient developed peripheral thrombosis which progressed to necrosis on postoperative day 6.
Platelet counts decreased significantly on the same day.
His clinical features were compatible with heparin induced thrombocytopenia (HIT).
However, serology testing was negative and the diagnosis was never confirmed.
The patient was treated for HIT and platelet count improved eventually.
Although no clear consensus exists, we believe this case illustrates why therapy for HIT should be initiated when clinical features strongly suggest HIT despite a negative serology test, unless an alternate diagnosis can be found.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Nakamura, Yoshitsugu& Bainbridge, Daniel T.& Kiaii, Bob. 2015. Peripheral Thrombosis and Necrosis after Minimally Invasive Redo Mitral Valve Replacement due to Unknown Etiology: Difficult Diagnosis of Heparin Induced Thrombocytopenia. Case Reports in Vascular Medicine،Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060309
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Nakamura, Yoshitsugu…[et al.]. Peripheral Thrombosis and Necrosis after Minimally Invasive Redo Mitral Valve Replacement due to Unknown Etiology: Difficult Diagnosis of Heparin Induced Thrombocytopenia. Case Reports in Vascular Medicine No. 2015 (2015), pp.1-3.
https://search.emarefa.net/detail/BIM-1060309
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Nakamura, Yoshitsugu& Bainbridge, Daniel T.& Kiaii, Bob. Peripheral Thrombosis and Necrosis after Minimally Invasive Redo Mitral Valve Replacement due to Unknown Etiology: Difficult Diagnosis of Heparin Induced Thrombocytopenia. Case Reports in Vascular Medicine. 2015. Vol. 2015, no. 2015, pp.1-3.
https://search.emarefa.net/detail/BIM-1060309
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1060309
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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