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Central European Journal of Medicine

, Volume 5, Issue 2, pp 150–153 | Cite as

Coronary arterial bypass surgery with beating heart in a patient with heparin-induced thrombocytopenia: Usage of thrombin inhibitor (Lepirudin; r-hirudin)

  • Bilgehan Erkut
  • Necip Becit
  • Serpil Diler
  • Munacettin Ceviz
Case Report
  • 26 Downloads

Abstract

One of the most important adverse drug reactions that physicians encounter is the life-threatening prothrombotic syndrome known as heparin-induced thrombocytopenia (HIT). In patients with a history of heparin-induced thrombocytopenia and coronary arterial disease, alternative anticoagulatory regimens are needed during cardiac surgery for prevention of thrombosis. Treatment options for such patients now generally include the use of alternative anticoagulants such as lepirudin, bivalirudin, argatroban or danaparoid. In this article, we present a case where heparin-induced thrombocytopenia was properly performed coronary arterial bypass grafting by using lepirudin. (This sentence is confusing)

Keywords

Lepirudin Heparin-induced thrombocytopenia Coronary arterial bypss surgery Heparin Anticoagulation 

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Copyright information

© © Versita Warsaw and Springer-Verlag Berlin Heidelberg 2009

Authors and Affiliations

  • Bilgehan Erkut
    • 1
  • Necip Becit
    • 2
  • Serpil Diler
    • 2
  • Munacettin Ceviz
    • 2
  1. 1.Cardiovascular Surgery DepartmentErzurum Regional Training and Research HospitalErzurumTurkey
  2. 2.Cardiovascular Surgery DepartmentAtatürk University Medical FacultyErzurumTurkey

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