Heparin Induced Thrombocytopenia In The Setting Of Urgent Cardiac Surgery: Can Bivalirudin Be A Safe Option? - A Case Report
Case report published in Portuguese Journal of Cardiac Thoracic and Vascular Surgery (2025)
Abstract
Unfractionated heparin is the main anticoagulant employed in the context of cardiovascular surgery. When a patient with heparin induced thrombocytopenia (HIT) is proposed for cardiac surgery, the anticoagulation management is challenging. Bivalirudin is an alternative to heparin in the perioperative setting. We present a rare case of a patient with HIT and cardiogenic shock that required bivalirudin use in the perioperative period of an urgent reoperation of recurrent mitral valve dysfunction. Although infrequent, the use of bivalirudin can be safe in high risk patients if adequate measures follow institutional protocols, as reported in this case.
Abstract sourced from PubMed (NCBI) for the cited record. See the original publication for the authoritative version.
Резюме
Heparin Induced Thrombocytopenia In The Setting Of Urgent Cardiac Surgery: Can Bivalirudin Be A Safe Option? - A Case Report.
Почему это важно для гирудотерапии
This case report describes a patient with heparin-induced thrombocytopenia (HIT) and cardiogenic shock who received bivalirudin during the perioperative period of an urgent reoperation for recurrent mitral valve dysfunction, with a reportedly safe outcome under institutional protocols. The abstract discusses bivalirudin as an alternative to heparin in the perioperative setting but provides no detail on its mechanism beyond clinical use. For ASH, no defensible leech or hirudotherapy connection exists from the abstract: it does not mention leeches, hirudin, or leech-derived therapy. Honest caveat: this is a single case report involving no leeches or leech therapy, and it does not establish efficacy or safety beyond the described individual.
Цитирование
Heparin Induced Thrombocytopenia In The Setting Of Urgent Cardiac Surgery: Can Bivalirudin Be A Safe Option? - A Case Report
Alves B et al. · Portuguese Journal of Cardiac Thoracic and Vascular Surgery, 2025
Связанный клинический контекст
Узнайте, как это исследование связано с клинической практикой
Добавлено в библиотеку ASH: May 27, 2026 · Последнее обновление сайта: June 18, 2026