成功为一名患有肝素诱导血小板减少症伴血栓形成的患者植入 HeartMate 3 LVAD，使用术前血浆置换和术中持续前列腺素。
Successful HeartMate 3 LVAD implantation in a patient with active heparin-induced thrombocytopaenia with thrombosis using pre-implantation plasmapheresis and intraoperative continuous prostacyclin.
机构信息
Section of Cardiology, Advanced Heart Failure, University of Chicago, Chicago, IL, USA.
Department of Surgery, Advanced Heart Failure, MedStar Washington Hospital Center, Washington, DC, USA.
出版信息
Interact Cardiovasc Thorac Surg. 2021 Jun 28;33(1):161-162. doi: 10.1093/icvts/ivab039.
Abstract
Heparin-induced thrombocytopaenia describes a prothrombotic state with significant rates of thrombus formation. We present a rare case of successful implantation of a HeartMate 3 left ventricular assist device in a patient with active heparin-induced thrombocytopaenia with thrombosis using preoperative plasmapheresis followed by intraoperative prostacyclin administration.
摘要
肝素诱导的血小板减少症描述了一种具有显著血栓形成率的促血栓状态。我们报告了一例罕见的成功植入 HeartMate 3 左心室辅助装置的病例，该患者患有肝素诱导的血小板减少症伴血栓形成，采用术前血浆置换，随后术中给予前列环素治疗。
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