Collart Frédéric, Derouck David, Kerbaul Francois, Feier Horea, Mesana Thierry G
Department of Cardiac Surgery, Hôpital de la Timone, University of Marseille, Marseille, France.
Ann Thorac Surg. 2003 Aug;76(2):617-9. doi: 10.1016/s0003-4975(03)00161-9.
Heparin-induced thrombocytopenia and thrombosis syndrome (type II) is associated with thromboembolic complications and a mortality rate up to 30%. We describe a patient who developed intracardiac and aortic Dacron prosthesis heparin-induced thrombosis after aortic root conservative surgery. Successive transoesophageal echocardiographies demonstrated a progressive regression of intracardiac thrombosis with oral anticoagulation by warfarin and antiplatelet therapy combining aspirin and clopidogrel.
肝素诱导的血小板减少症和血栓形成综合征（II型）与血栓栓塞并发症相关，死亡率高达30%。我们描述了一名患者，该患者在主动脉根部保守手术后发生了心脏内和主动脉涤纶人工血管肝素诱导的血栓形成。连续的经食管超声心动图显示，通过华法林口服抗凝以及阿司匹林和氯吡格雷联合抗血小板治疗，心脏内血栓逐渐消退。
