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CURRENT ISSUETHE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery

Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632

Frequency: Bi-Monthly

ISSN 0021-9509

Online ISSN 1827-191X

 

The Journal of Cardiovascular Surgery 2001 December;42(6):769-71

CARDIAC SECTION 

    CASE REPORTS

Successful cardiac transplantation after Novacor implantation in a HIT II-patient using heparin

Christiansen S., Jahn U. R. *, Meyer J. *, Scheld H. H., Van Aken H. *, Hammel D.

From ­the Klinik und Poliklinik ­fur Thorax-, Herz- und Gefäβchirurgie
*Klinik ­und Poliklinik ­fur Anästhesiologie und Operative Intensivmedizin Westfälische Wilhelms Universität Münster Münster, Germany

The anti­co­ag­u­la­tive man­age­ment of ­patients test­ed pos­i­tive ­for hep­ar­in-­induced throm­bo­cy­to­pe­nia ­type II (­HIT II) ­and requir­ing car­diac sur­gery ­has ­been dif­fi­cult ­until ­now. A spe­cial chal­lenge aris­es, ­when ­left ven­tric­u­lar ­assist devic­es ­have to be implant­ed ­for bridg­ing to car­diac trans­plan­ta­tion. We ­report on ­the anti­co­ag­u­la­tive man­age­ment of ­such a ­patient, ­based on ­the con­sid­er­a­tion of ­HIT II-pathoph­y­sio­lo­gy ­and ­using hep­ar­in ­for Novacor ­LVAD implan­ta­tion ­and car­diac trans­plan­ta­tion.

language: English


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