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    A Rare and Undesirable Complication of Heparin-Induced Thrombocytopenia: Acute Massive Pulmonary Embolism
    (SAGE PUBLICATIONS INC, 2011) Gul, Enes Elvin; Abdulhalikov, Turyan; Aslan, Ramazan; Aydogdu, Ismet
    A 69-year-old woman presented to the emergency department with sudden onset of dyspnea. She reported bilateral total knee surgery 12 days prior for gonarthrosis. The patient was recommended low-molecular-weight heparin (LMWH) 0.4 cc (4 milliliter) twice a day. On evaluation, severe thrombocytopenia was detected. An echocardiogram was performed because of her dyspnea, which revealed right ventricular dilatation and hypokinesis. Due to suspicion of a pulmonary embolism (PE), a pulmonary computed tomography (CT) was performed, which revealed bilateral massive PE. This event occurred while the patient was receiving LMWH for prophylaxis of PE. Due to the presence of severe thrombocytopenia, fondaparinux and immunoglobulin were initiated. Her platelet levels improved significantly and she was discharged on warfarin.
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    Tetralogy of Fallot May Escape Attention Even in Pregnancy: a Late Presenting Case of a Multiparous Woman
    (2014) Gül, Enes Elvin; Abdulhalikov, Turyan; Aslan, Ramazan; Özbek, Orhan; Kayrak, Mehmet
    Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease. A 47-year-old woman presented to our clinic with cyanosis and dyspnea on exertion. She had previously had three successful and healthy pregnancies. From the results of laboratory and imaging techniques a diagnosis of tetralogy of Fallot was made and the patient was referred to the cardiovascular surgery for the repairing operation. Here, we report a case of tetralogy of Fallot in a multiparous woman.