A fatal complication after repair of post-infarction ventricular septal rupture: heparin-induced thrombocytopenia with thrombosis

Cardiovasc J Afr. 2015 May 23;26(3):e11-5. doi: 10.5830/CVJA-2015-001.

Abstract

Heparin-induced thrombocytopenia (HIT) is a rare but potentially devastating and life-threatening complication from using heparin. HIT not only causes thrombocytopenia, but it also carries an increased risk for fatal thrombotic complications. In this report, we describe the case of a patient in whom fatal HIT developed after successful surgical repair of a posterior post-infarction ventricular septal rupture with cardiopulmonary bypass.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anticoagulants / adverse effects*
  • Cardiac Surgical Procedures*
  • Cardiopulmonary Bypass
  • Coronary Angiography
  • Coronary Artery Bypass
  • Fatal Outcome
  • Heparin / adverse effects*
  • Humans
  • Male
  • Myocardial Infarction / complications*
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / surgery
  • Suture Techniques
  • Thrombocytopenia / chemically induced*
  • Thrombocytopenia / diagnosis
  • Thrombosis / chemically induced*
  • Thrombosis / diagnosis
  • Time Factors
  • Treatment Outcome
  • Ventricular Septal Rupture / diagnosis
  • Ventricular Septal Rupture / etiology
  • Ventricular Septal Rupture / surgery*

Substances

  • Anticoagulants
  • Heparin