We report a case of altered heparin responsiveness encountered before establishment of cardiopulmonary bypass (CPB) in a patient with valvular heart disease and cardiac failure. She was treated with plasma exchange transfusion (PET) in order to achieve an acceptable activated coagulation time (ACT) before institution of CPB.
S. Gadhinglajkar, Sreedhar, R., Dr. Praveen Varma, and Pal, S., “Plasma Exchange Transfusion for Management of Altered Heparin Responsiveness Before Cardiopulmonary Bypass”, Journal of Cardiothoracic and Vascular AnesthesiaJournal of Cardiothoracic and Vascular Anesthesia, vol. 27, no. 5, pp. e58 - e60, 2013.