Author/Authors :
Jeffrey A. Morgan، نويسنده , , Aftab R. Kherani، نويسنده , , Deon W. Vigilance، نويسنده , , Faisal H. Cheema، نويسنده , , Nicholas J. Colletti، نويسنده , , David I. Sahar، نويسنده , , Kung-Ming Jan، نويسنده , , David L. Diuguid، نويسنده , , Roman Nowygrod، نويسنده , , Mehmet C. Oz، نويسنده , , Michael Argenziano MD، نويسنده ,
Abstract :
This report describes a 72-year-old woman with atrial fibrillation who presented with lower extremity ischemia secondary to thromboembolism. After lower extremity thrombectomy, the patient developed heparin-induced thrombocytopenia with thrombosis (HITT). Her postoperative course was complicated by recurrent supraventricular and ventricular tachycardia, secondary to a mobile thrombus in the right atrium extending into the right ventricle. Because administration of heparin was contraindicated, the patient underwent off-pump right atrial thrombectomy during a brief period of inflow occlusion. Postoperatively, she was placed on lepirudin. Her platelet count normalized without any further thrombotic episodes, and she was discharged on warfarin.
