Successful on-pump coronary artery bypass without using protamine.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 21256330.
- Also identified by DOI 10.1016/j.athoracsur.2010.07.088.
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Abstract
A 48-year-old woman presented with a history of angina and breathlessness on exertion. She was diagnosed to have critical left main stem coronary artery disease along with a blocked right coronary artery. She was also allergic to protamine. After multidisciplinary consultation, it was decided to use heparin without protamine for reversal. She underwent successful on-pump coronary artery bypass grafting (CABG) without excessive blood loss. The disadvantages were a longer total operating time and the use of blood products to achieve normal coagulation. This case report describes the successful management of this complex problem.
Medical subject headings
- Coronary Artery Bypass
- Coronary Disease
- Protamines