A 66-year-old woman was admitted to our hospital for coronary angiography one week priorly. She had undergone on-pump coronary artery bypass operation uneventfully. She experienced shortness of breath and hypotension on postoperative day 8. Diagnosis of heparin-induced thrombocytopenia was suspected because of a continuing fall of platelet counts. Tissue plasminogen activator was given with Endowave infusion catheter system for 24 hours. Platelets were counted daily and above 50.000/mm3. Fondaparinux was initiated She was discharged with warfarin therapy.
Heparin-induced thrombocytopenia; coronary artery bypass; pulmonary thromboembolism