Journal of Clinical Anesthesiology: Open Access

Acute Intraoperative Onset of Heparin-Induced Thrombocytopenia (HIT) During Off-pump Coronary Artery Bypass Grafting: A Case Report and Literature Review

Abstract

Flurina Hostettler*, Sergio Mariotti, Nicole Hilber, Nestoras Papadopoulos, Omer Dzemali and Eckhard Mauermann

This case report presents a unique case of intraoperative Heparin-Induced Thrombocytopenia (HIT) during cardiac surgery. Without any preoperative warning signs of HIT, intraoperative complications emerged, including occlusion of the aortocoronary arteries and rapid deterioration of ventricular function. This case illustrates the need for 1) raised awareness of intraoperative HIT and 2) for interdisciplinary contingency plans for suspected intraoperative HIT.