Ozan KARAKİŞİ, Erol ŞENER, Levent ÇETİN, Ayşegül KUNT, Mete HIDIROĞLU, Aslıhan KÜÇÜKER

Heparine bağlı trombositopeni öyküsü olan bir hastada tekrar ameliyat

Heparine bağlı trombositopeni (HIT) olan ve açık kalp ameliyatı yapılması planlanan hastalar kalp cerrahisi ekibi için özel bir sorun oluşturur. Günümüzde kardiyopulmoner baypas ameliyatı alacak hastalarda antikoagülasyon için heparin altın standarttır. Kardiyopulmoner baypas kullanımı gerekli olan ve HIT olan hastalarda antikoagülan ajanlar ile çeşitli alternatif tedavi yaklaşımları da mevcuttur. Bu yazıda mitral protez kapağı olup, geçmişinde HIT öyküsü olan, tekrar ameliyat ile aort ve triküspit kapak replasmanı yapılan 52 yaşında bir erkek hasta, literatür eşliğinde sunuldu.

Reoperation of a patient with the history of heparin-induced trombocytopenia

Patients who have heparin-induced thrombocytopenia (HIT) undergoing open heart surgery pose a particular problem to the cardiac surgery team. Heparin is the gold standard for anticoagulation for the patients who are scheduled to undergo cardiopulmonary bypass. Several management approaches with alternative anticoagulant agents are available for the patients with HIT requiring cardiopulmonary bypass. In this article, we present a 52-year-old male patient with mitral valve prosthesis with a history of HIT undergoing reoperation and aortic and tricuspid valve replacement in the light of literature review.

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