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A 63 year old male presented to our hospital with NonST Elevated Myocardial Infarction and high grade stenotic lesions in distal left main artery and mid right coronary artery.Heunderwent anIntra AorticBalloonPump(IABP) , heparin initiation, Coronary Artery Bypass Grafting(CABG) and got discharged. On 9 th postoperative day he presented with STElevated MI, thrombosis of all grafts, thrombocytopenia due to heparin (Heparin Induced Thrombocytopenic Thrombosis).A rescue Per Cutaneous Intervention with Intra AorticBalloon Pump of native vessels has been done with use of argotraban as alternative anticoagulant. Later Angiogram showed patent lumen with TIMI-3 flow. He was discharged with improved platelet count and stabilized condition.

Early Graft Dysfunction Post Coronary Artery Bypass due to Heparin Induced Thrombocytopenic Thrombosis