Thrombolytic therapy in acute pulmonary embolism due to heparin-induced thrombocytopenia type II

Azza A. Alafify; Tarig S. Al-Khuwaitir; Abdurahman M. Al-Mugheiri; Djibril M Ndao

Abstract

Hospitalized patients are in danger of deep venous thrombosis either due to a genetic tendency, immobilization or the underlying medical condition. Paradoxically heparin, the substance used to prevent this complication, can lead to thrombo-embolic phenomena, which can be life threatening. We report a case of heparin-induced thrombocytopenia, which caused a massive pulmonary embolism, and its management by administering a thrombolytic agent in a situation where bleeding seems inevitable.

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