Cardiovascular Surgery and Interventions 2016, Vol 3, Num 1 Page(s): 011-014
Plasmapheresis, intravenous immunoglobulin and fondaparinux treatment in heparin-induced thrombocytopenia after aortic and mitral valve replacement

Mehmet Erdem Toker1, Servet Ergün1, Ekrem Yılmaz1, Emine Gültürk2

1Department of Cardiovascular Surgery, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, İstanbul, Turkey
2Department of Haematology, Dr. Lütfi Kırdar Kartal Training and Research Hospital, İstanbul, Turkey

Keywords: Heparin-induced thrombocytopenia; intravenous immunoglobulin; plasmapheresis; valve replacement
Heparin-induced thrombocytopenia is a complication associated with increased early mortality and major morbidity rates after open heart surgery. Herein, we present a case of heparin-induced thrombocytopenia with major hemodynamic deterioration following elective aortic and mitral valve replacement who was successfully treated with plasmapheresis, intravenous immunoglobulin, and fondaparinux.

DOI : 10.5606/e-cvsi.2016.411