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Heparin‐induced thrombocytopenia (HIT) causing pulmonary emboli during coronary intervention
Author(s) -
Jiji Ronny S.,
Michaels Andrew D.
Publication year - 2008
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.21732
Subject(s) - medicine , heparin induced thrombocytopenia , percutaneous coronary intervention , conventional pci , chest pain , heparin , troponin , cardiology , pulmonary embolism , thrombosis , differential diagnosis , surgery , myocardial infarction , pathology
Thrombotic complications of heparin‐induced thrombocytopenia (HIT) can be devastating if not recognized and treated promptly. We describe an unusual case of rapid‐onset HIT resulting in massive‐bilateral pulmonary emboli in a 70 year‐old man who developed chest pain during elective percutaneous coronary intervention (PCI). The diagnosis was made the following day after persistent chest pain and laboratory work demonstrating a new thrombocytopenia, a mildly elevated troponin, and positive DIC panel led to confirmatory imaging tests. HIT‐related thrombosis should be considered in the differential diagnosis of chest pain in patients undergoing PCI. © 2008 Wiley‐Liss, Inc.