Successful thrombolysis after pulmonary endarterectomy.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 21095367.
- Also identified by DOI 10.1016/j.athoracsur.2010.05.045.
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Abstract
We report the case of a 51-year-old woman who underwent pulmonary endarterectomy for chronic thromboembolic pulmonary hypertension. On postoperative day 1 she developed bilateral pulmonary thrombosis due to preoperatively undiagnosed heparin-induced thrombocytopenia. Systemic thrombolytic therapy with alteplase on postoperative days 5 and 6 resulted in marked clinical improvement. To our knowledge this is the first report of successful thrombolysis of pulmonary thrombosis due to heparin-induced thrombocytopenia after pulmonary endarterectomy.
Medical subject headings
- Endarterectomy
- Fibrinolytic Agents
- Pulmonary Embolism
- Thrombolytic Therapy