Fulminate Heparin-Induced Thrombocytopenia and Surgery With Deep Hypothermic Circulatory Arrest Using Bivalirudin

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After on-pump coronary artery bypass graft surgery, a patient had acute heparin-induced thrombocytopenia with thoracic arterial and venous thrombus formations. Complex emergency surgery with cardiopulmonary bypass and deep hypothermic circulatory arrest using bivalirudin anticoagulation was performed.

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