We have successfully done off pump total arterial coronary surgery (CABG) using Bivalirudin in a patient awaiting liver transplantation with history of variceal bleed and thrombocytopenia and also in another patient we used Bivalirudin for traumatic mitral regurgitation and heparin induced thrombocytopenia , who underwent mitral valve repair successfully.
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AMTZ
Travancore Heart Institute
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