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Khanal R, Karmacharya P, Forman DA. Heparin-induced thrombocytopenia following coronary artery bypass grafting: a diagnostic dilemma. J Community Hosp Intern Med Perspect. 2015;5(5):28745doi: 10.3402/jchimp.v5.28745.
Khanal, R., Karmacharya, P., & Forman, D. A. (2015). Heparin-induced thrombocytopenia following coronary artery bypass grafting: a diagnostic dilemma. Journal of community hospital internal medicine perspectives, 5(5), 28745. https://doi.org/10.3402/jchimp.v5.28745
Khanal, Raju, et al. "Heparin-induced thrombocytopenia following coronary artery bypass grafting: a diagnostic dilemma." Journal of community hospital internal medicine perspectives vol. 5,5 (2015): 28745. doi: https://doi.org/10.3402/jchimp.v5.28745
Khanal R, Karmacharya P, Forman DA. Heparin-induced thrombocytopenia following coronary artery bypass grafting: a diagnostic dilemma. J Community Hosp Intern Med Perspect. 2015 Oct 19;5(5):28745. doi: 10.3402/jchimp.v5.28745. eCollection 2015. PMID: 26486110; PMCID: PMC4612479.
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J Community Hosp Intern Med Perspect. 2015 Oct 19;5(5):28745. doi: 10.3402/jchimp.v5.28745. eCollection 2015.

Heparin-induced thrombocytopenia following coronary artery bypass grafting: a diagnostic dilemma.

Journal of community hospital internal medicine perspectives

Raju Khanal, Paras Karmacharya, Daniel A Forman

Affiliations

  1. Department of Internal Medicine, Reading Health System, West Reading, PA, USA; [email protected].
  2. Department of Internal Medicine, Reading Health System, West Reading, PA, USA.
  3. Hematology Oncology, Reading Health Physician Network, West Reading, PA, USA.

PMID: 26486110 PMCID: PMC4612479 DOI: 10.3402/jchimp.v5.28745

Abstract

The diagnosis of heparin-induced thrombocytopenia (HIT) is a challenge in post-cardiac surgery patients because of the high incidence of non-immune thrombocytopenia and heparin-platelet factor 4 antibodies in these groups. We present a case of HIT in a post coronary artery bypass surgery patient, which was successfully treated with prompt recognition and discontinuation of heparin products.

Keywords: CABG; HIT; heparin-induced thrombocytopenia; serotonin release assay

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