Abstract
Thrombocytopenia occurs almost systematically in cardiac surgery under extracorporeal circulation (ECC). Its usual causes are multiple and recognized, but sometimes uncommon mechanisms are added, posing the problem of etiological diagnosis and the dilemma of optimal adequate management. The etiological diagnosis of thrombocytopenia after extracorporeal circulation requires a careful analysis of the chronology of the thrombocytopenia and also of the clinical and biological context. The authors report the observation of a case of additional thrombocytopenia after cardiovascular surgery under extracorporeal circulation, detailing the diagnostic modalities and describing the different usual clinical and biological characteristics of platelet changes induced by extracorporeal circulation.
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