Cross-Reactivity Between Heparin and Danaparoid Antibodies in Cardiac Surgery.

Ronchard, Thibault; Salaun, Erwan; Theron, Alexis; Grisoli, Dominique; Jaussaud, Nicolas; Collart, Frédéric; Habib, Gilbert; Camoin-Jau, Laurence · Ann Thorac Surg · 2017

case_report · Level V

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Abstract

Management of heparin-induced thrombocytopenia (HIT) entails cessation of heparin and initiation of a nonheparin parenteral anticoagulant such as danaparoid. Danaparoid cross-reactivity with HIT antibodies is an uncommon complication of treatment of HIT. We report the case of confirmed HIT and in vivo cross-reactivity with danaparoid, complicating severe sepsis due to an infectious endocarditis treated by cardiac surgery.

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