紧急心脏手术中肝素诱导的血小板减少:比伐鲁定是一种安全的选择吗?-病例报告。

Bárbara Alves, Joana Veiga, Inês Morais, Fátima Lima, Nelson Paulo
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引用次数: 0

摘要

未分离肝素是心血管手术中使用的主要抗凝剂。当肝素诱导的血小板减少症(HIT)患者被建议进行心脏手术时,抗凝治疗是具有挑战性的。比伐鲁定是围手术期肝素的替代品。我们提出一个罕见的病例患者HIT和心源性休克,需要比伐鲁定在围手术期的紧急二尖瓣功能障碍复发再手术。正如本病例所报告的那样,尽管不常见,但如果采取适当措施遵循机构方案,比伐鲁定在高风险患者中的使用是安全的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Heparin Induced Thrombocytopenia In The Setting Of Urgent Cardiac Surgery: Can Bivalirudin Be A Safe Option? - A Case Report.

Unfractionated heparin is the main anticoagulant employed in the context of cardiovascular surgery. When a patient with heparin induced thrombocytopenia (HIT) is proposed for cardiac surgery, the anticoagulation management is challenging. Bivalirudin is an alternative to heparin in the perioperative setting. We present a rare case of a patient with HIT and cardiogenic shock that required bivalirudin use in the perioperative period of an urgent reoperation of recurrent mitral valve dysfunction. Although infrequent, the use of bivalirudin can be safe in high risk patients if adequate measures follow institutional protocols, as reported in this case.

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