Nakajima Tomomi, Enomoto Yoshiharu, Ishigaki Maiko, Hasegawa Yuichi, Tokunaga Chiho, Hiramatsu Yuji, Sakamoto Hiroaki
Faculty of Medicine, Department of Cardiovascular Surgery, University of Tsukuba, Tsukuba, Japan.
J Card Surg. 2017 Oct;32(10):633-635. doi: 10.1111/jocs.13216. Epub 2017 Sep 24.
Patients with antiphospholipid syndrome (APS) are at high-risk for thrombotic and bleeding complications during cardiopulmonary bypass. We report an APS patient who successfully underwent aortic valve replacement while heparin concentrations were monitored using a patient-specific titration curve using viscoelastic coagulation testing.
抗磷脂综合征（APS）患者在体外循环期间发生血栓形成和出血并发症的风险很高。我们报告了一例APS患者，该患者在使用粘弹性凝血试验根据患者特异性滴定曲线监测肝素浓度的情况下，成功接受了主动脉瓣置换术。
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