Regression of intracardiac heparin-induced thrombosis after aortic root surgery.

Collart, Frédéric; Derouck, David; Kerbaul, Francois; Feier, Horea; Mesana, Thierry G · Ann Thorac Surg · 2003

case_report · Level V

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Abstract

Heparin-induced thrombocytopenia and thrombosis syndrome (type II) is associated with thromboembolic complications and a mortality rate up to 30%. We describe a patient who developed intracardiac and aortic Dacron prosthesis heparin-induced thrombosis after aortic root conservative surgery. Successive transoesophageal echocardiographies demonstrated a progressive regression of intracardiac thrombosis with oral anticoagulation by warfarin and antiplatelet therapy combining aspirin and clopidogrel.

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