Management of a patient with lupus anticoagulant and antiphospholipid syndrome for off-pump coronary artery bypass grafting using the Hepcon system.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 19299773.
- Also identified by DOI 10.1213/ane.0b013e3181994f88.
- No licence information is recorded for this record.
- Because redistribution is not established, this page shows the abstract only. Follow the links below for the full text.
Abstract
Patients with serum lupus anticoagulant antibodies (LAC) with or without antiphospholipid syndrome who present for cardiac surgery provide a unique set of challenges. Chief among these are the interference with anticoagulation monitoring by LAC. We present a case of such a patient who presented to us for coronary artery bypass grafting. We follow with a review of LAC and antiphospholipid syndrome and present a strategy for ensuring adequate anticoagulation during cardiac surgery in the background of previously published reports.
Medical subject headings
- Anticoagulants
- Antiphospholipid Syndrome
- Blood Coagulation Tests
- Coronary Artery Bypass, Off-Pump
- Coronary Artery Disease
- Drug Monitoring
- Heparin
- Lupus Coagulation Inhibitor