Acute renal failure due to bilateral renal vein thromboses: A rare complication of heparin-induced thrombocytopenia

Allan Klompas, Robert Albright, Simon Maltais, Onur Demirci

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Heparin-induced thrombocytopenia type II is a rare but devastating complication of heparin exposure. We review a case of a 66-year-old female who underwent aortic valve surgery requiring venoarterial extracorporeal membranous oxygenation (ECMO) support postoperatively. She subsequently developed acute renal failure due to bilateral renal vein thromboses and thrombocytopenia and was found to have platelet factor 4/heparin antibodies and was diagnosed with heparin-induced thrombocytopenia (HIT). She was transitioned to nonheparin anticoagulation and her thrombocytopenia improved. Although a rare complication of anticoagulation, diagnosing HIT in a patient on ECMO requires a high index of suspicion and should be considered.

Original languageEnglish (US)
Pages (from-to)204-206
Number of pages3
JournalAnnals of cardiac anaesthesia
Volume22
Issue number2
DOIs
StatePublished - Apr 1 2019

Keywords

  • ECMO
  • heparin-induced thrombocytopenia
  • renal vein thromboses

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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