Postpartum coronary artery dissection complicated by heparin-induced thrombocytopenia and thrombosis.

Eby, C S; McBride, L R · Ann Thorac Surg · 2001

case_report · Level V

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Abstract

A 32-year-old woman presented with an acute anterior-lateral myocardial infarction 7 days postpartum. Coronary angiography revealed an occlusive left main coronary artery dissection. After coronary artery bypass surgery the patient's cardiac function improved and stabilized. Thrombocytopenia and a femoral artery thrombosis after 9 days of heparin exposure marked the development of heparin-induced thrombocytopenia and thrombosis that was successfully managed with argatroban, a direct thrombin inhibitor anticoagulant.

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