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Case Reports
. 2005 Apr;79(4):1388-90.
doi: 10.1016/j.athoracsur.2003.09.108.

Heparin-induced thrombocytopenia associated with bilateral adrenal hemorrhage after coronary artery bypass surgery

Faisal G Bakaeen  1 , Jon-Cecil M Walkes, Michael J Reardon
Affiliations
Case Reports

Heparin-induced thrombocytopenia associated with bilateral adrenal hemorrhage after coronary artery bypass surgery

Faisal G Bakaeen et al. Ann Thorac Surg. 2005 Apr.

Abstract

Heparin-induced thrombocytopenia (HIT) is a well-recognized syndrome associated with thrombosis and multiple potential clinical sequelae. We report a case of bilateral adrenal hemorrhage, a known but rare complication of heparin-induced thrombocytopenia complicating a routine coronary artery bypass surgery. Thrombocytopenia, abdominal pain, and signs of adrenal insufficiency in the context of heparin treatment should raise suspicion of this unusual complication.

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