PT - JOURNAL ARTICLE AU - Jean Kim AU - Jakrin Kewcharoen AU - Corey J Lum AU - Steven S Azuma TI - Uncommon obstacle: management of end-stage heart failure in thrombocytopenia with absent radii (TAR) syndrome AID - 10.1136/bcr-2021-243127 DP - 2021 Jul 01 TA - BMJ Case Reports PG - e243127 VI - 14 IP - 7 4099 - http://casereports.bmj.com/content/14/7/e243127.short 4100 - http://casereports.bmj.com/content/14/7/e243127.full SO - BMJ Case Reports2021 Jul 01; 14 AB - Thrombocytopenia with absent radii (TAR) syndrome is a rare genetic condition causing absent radial bones and thrombocytopenia. Management is generally supportive although there may be a role for platelet-stimulating agents such as romiplostim. In this case, we highlight the obstacles in managing end-stage heart failure in a patient with TAR syndrome.