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Heparin-related thrombocytopenia and adrenal hemorrhagic necrosis following aortic surgery

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Annals of Vascular Surgery

Abstract

Adrenal hemorrhagic necrosis is one of several possible complications of heparin-related thrombocytopenia. We report a case in which adrenal hemorrhagic necrosis developed after aortofemoral bypass. This serious complication remains difficult to diagnose in the absence of a high index of suspicion. A routine search for this condition in the setting of heparin-related thrombocytopenia is essential since a favorable outcome is dependent on early diagnosis.

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Leschi, JP., Goëau-Brissonnière, O., Coggia, M. et al. Heparin-related thrombocytopenia and adrenal hemorrhagic necrosis following aortic surgery. Annals of Vascular Surgery 8, 506–508 (1994). https://doi.org/10.1007/BF02133073

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