دورية أكاديمية

Acute renal failure due to bilateral renal vein thromboses: A rare complication of heparin-induced thrombocytopenia.

التفاصيل البيبلوغرافية
العنوان: Acute renal failure due to bilateral renal vein thromboses: A rare complication of heparin-induced thrombocytopenia.
المؤلفون: Klompas, Allan, Albright, Robert, Maltais, Simon, Demirci, Onur, Klompas, Allan M, Albright, Robert C
المصدر: Annals of Cardiac Anaesthesia; Apr-Jun2019, Vol. 22 Issue 2, p204-206, 3p
مصطلحات موضوعية: ACUTE kidney failure, RENAL veins, AORTIC valve surgery, ANTICOAGULANTS, DIFFERENTIAL diagnosis, HEPARIN, THROMBOCYTOPENIA, VENOUS thrombosis, DISEASE complications
مستخلص: Heparin-induced thrombocytopenia type II is a rare but devastating complication of heparin exposure. We review a case of a 66-year-old female who underwent aortic valve surgery requiring venoarterial extracorporeal membranous oxygenation (ECMO) support postoperatively. She subsequently developed acute renal failure due to bilateral renal vein thromboses and thrombocytopenia and was found to have platelet factor 4/heparin antibodies and was diagnosed with heparin-induced thrombocytopenia (HIT). She was transitioned to nonheparin anticoagulation and her thrombocytopenia improved. Although a rare complication of anticoagulation, diagnosing HIT in a patient on ECMO requires a high index of suspicion and should be considered. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:09719784
DOI:10.4103/aca.ACA_114_18