| Issue |
J Extra Corpor Technol
Volume 43, Number 1, March 2011
|
|
|---|---|---|
| Page(s) | 26 - 29 | |
| DOI | https://doi.org/10.1051/ject/201143026 | |
| Published online | 15 March 2011 | |
Case Report
Thromboelastograph Guided Management of a Patient Requiring Abiomed Biventricular Support with Consumptive Coagulopathy
Address correspondence to: Darshit A. Gandhi, BS, Perfusionist, Perfusion Department, Firelands Regional Medical Center, 1111 Hayes Avenue, Sandusky, OH 44870. E-mail: dagandhi1@gmail.com
Received:
19
April
2010
Accepted:
26
December
2010
A 69-year-old male, who underwent cardio-pulmonary bypass surgery, required biventricular support using the Abiomed. The patient subsequently developed a consumptive coagulopathy. The thromboelastograph was used to administer NovoSeven and guide allogenic transfusions to achieve a hematocrit of greater than 30% and a platelet count greater than 100,000 per μL. Disseminated intravascular coagulation was resolved and the patient was transported to a tertiary care center within 72 hours. The Abiomed BVS 5000 provided a bridge to the native heart recovery and was successfully explanted.
Key words: cardiac surgery / thromboelastograph / ventricular assist device / Abiomed BVS 5000 / NovoSeven / v-curve
© 2011 AMSECT
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