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We describe a patient who developed catastrophic consequences of heparin-induced thrombocytopenia (HIT) post cardiac surgery, for which she required reoperation using CPB. We also illustrate the impact of intraoperative transesophageal echocardiography (TEE) in the surgical management of this patient.doi:10.4236/ijcm.2010.12014 fatcat:ibpzxg4qqfasbgwdtiuromtuwu