Heparin-Induced Thrombosis without Thrombocytopenia Causing Fulminant Pulmonary Embolism after Off-pump Coronary Artery Bypass Grafting


  • Amir K. Bigdeli
  • Christoph Schmitz
  • Dirk Bruegger
  • Florian Weis
  • Marion Weis
  • Sebastian Michel
  • Daniel Schmauss
  • Daniel Reichart
  • Bruno Reichart
  • Ralf Sodian




Heparin-induced thrombocytopenia (HIT) is a rare immune-mediated complication of heparin administration. A potentially life-threatening complication, HIT is difficult to diagnose in patients in the intensive care unit after cardiac surgery because there can be multiple reasons for thrombocytopenia. Moreover, immune-mediated platelet consumption may be masked by reactive thrombocytosis, which is common in the typical postoperative course after cardiac surgery. We report the case of a 57-year-old male patient who developed fulminant pulmonary embolism following heparin-induced thrombosis without thrombocytopenia after off-pump coronary artery bypass surgery.


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How to Cite

Bigdeli, A. K., Schmitz, C., Bruegger, D., Weis, F., Weis, M., Michel, S., Schmauss, D., Reichart, D., Reichart, B., & Sodian, R. (2009). Heparin-Induced Thrombosis without Thrombocytopenia Causing Fulminant Pulmonary Embolism after Off-pump Coronary Artery Bypass Grafting. The Heart Surgery Forum, 12(6), E368-E370. https://doi.org/10.1532/HSF98.20091057




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