Irish Journal of Medical Science

, Volume 181, Issue 3, pp 397–400 | Cite as

Acute aortic occlusion in a patient with heparin-induced thrombocytopenia treated by thrombectomy

  • D. Collins
  • M. A. Moloney
  • D. O’Donnell
  • D. Brophy
  • S. J. Sheehan
Case Report



Heparin-induced thrombocytopenia syndrome (HITS) is an infrequent complication of heparin anticoagulation.

Case report

We present the case of a 44-year-old male who was admitted with acute ischaemia of his right lower limb. He was initially treated with unfractionated heparin and thrombolysis, but subsequently developed acute aortic thrombosis 8 days following initiation of heparin therapy. This was treated with bilateral per-femoral thrombectomy with curative result.


This case report draws the attention of surgeons to the difficulties in diagnosing HITS and highlights the multidisciplinary management of a complicated case of acute ischaemia.


Vascular Aortic occlusion Heparin Thrombocytopenia Thrombectomy Thrombolysis 


Conflict of interest



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Copyright information

© Royal Academy of Medicine in Ireland 2010

Authors and Affiliations

  • D. Collins
    • 1
  • M. A. Moloney
    • 1
  • D. O’Donnell
    • 2
  • D. Brophy
    • 2
  • S. J. Sheehan
    • 1
  1. 1.Department of Vascular SurgerySt. Vincent’s University HospitalDublin 4Ireland
  2. 2.Department of Vascular RadiologySt. Vincent’s University HospitalDublin 4Ireland

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