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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
Joint Authors
Bainbridge, Daniel T.
Kiaii, Bob
Nakamura, Yoshitsugu
Source
Case Reports in Vascular Medicine
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-14
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1060309