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Successful use of fondaparinux in a patient with heparin-induced thrombocytopenia while on extracorporeal membrane oxygenation after mitral valve redo surgery.
[heparin-induced thrombocytopenia]
In
patients
with
respiratory
failure
and
impairment
of
the
left
ventricle
,
arteriovenous
extracorporeal
membrane
oxygenation
(
ECMO
)
offers
further
therapeutic
options
.
Systemic
anticoagulation
is
mandatory
and
heparin
is
routinely
administrated
.
However
,
repeated
exposure
to
heparin
may
cause
heparin-induced
thrombocytopenia
(
HIT
)
and
carries
a
risk
of
thrombotic
mortality
and
morbidity
.
We
present
a
patient
who
developed
HIT
during
ECMO
support
and
was
treated
successfully
and
safely
by
fondaparinux
.
Fondaparinux
can
be
used
for
thromboembolic
treatment
or
prophylaxis
in
a
patient
with
HIT
.
Diseases
Validation
Diseases presenting
"further therapeutic options"
symptom
heparin-induced thrombocytopenia
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