Heparin 'flush' induced thrombocytopenia triggered by total hip replacement: a case report.

ABSTRACT:

Background

Heparin-induced thrombocytopenia (HIT) typically responds to heparin termination. Some types of HIT can persist after heparin discontinuation.

Case summary

A 95-year-old woman was referred to the cardiology from orthopaedics because of acute limb ischaemia (ALI) 1 day after surgery of a femoral neck fracture. Despite thrombectomy, ALI relapsed the next day. She had been treated with intravenous antibiotics with a diagnosis of aspiration pneumonia for 1 week until 3 days before surgery, together with heparin flush twice a day. Of note, no intra-/post-operative heparin was administered, no cell salvage device, central venous, nor arterial catheters were used before development of ALI. The patient and her family refused reattempting invasive therapies; consequently,

SUBMITTER: Yoshida R 

PROVIDER: S-EPMC7180709 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature