A Case Report of Anesthesia for Abdominal Aortic Aneurysm of a Patient with Essential Thrombocythemia

Manaka, S; Nagano, Kazuko; Akasaka, Noriko; Tateda, Takeshi

doi:10.2199/jjsca.25.549

Cited by 3 publications

(1 citation statement)

References 5 publications

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“…Activated clotting time is maintained at more than 450 s during CPB at our institute. Manaka reported the case of a patient with ET who underwent vascular surgery with heparin residence [ 4 ]. In such cases, argatroban is recommended instead of heparin.…”

Section: Discussionmentioning

confidence: 99%

Multiple cardiac surgical procedures in a case of an octogenarian with essential thrombocythemia

et al. 2023

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Background Essential thrombocythemia (ET) is a chronic myeloproliferative disorder characterized by an elevation of platelet counts with a tendency for thrombosis and hemorrhage. The perioperative management of cardiovascular surgery of an ET patient is complicated. There is limited literature on the perioperative management of patients with ET undergoing cardiovascular surgery, particularly those requiring multiple procedures. Case presentation An 85-year-old woman with a history of essential thrombocythemia (ET), which resulted in an abnormally high platelet count, was diagnosed with aortic valve stenosis, ischemic heart disease and paroxysmal atrial fibrillation. She underwent aortic valve replacement, coronary artery bypass grafting, and pulmonary vein isolation. The postoperative course was uneventful, nor hemorrhage and thrombosis. Conclusions We represent a case of perioperative management and successful treatment of three combined cardiac surgery for an octogenarian ET patient who is the oldest case ever reported.

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Section: Discussionmentioning

confidence: 99%

Multiple cardiac surgical procedures in a case of an octogenarian with essential thrombocythemia

et al. 2023

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A Case of Mitral Valve Replacement Complicated with Essential Thrombocythemia Preoperatively Interrupting Hydroxycarbamide

et al. 2019

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Essential thrombocythemia ET is a myeloproliferative neoplasm characterized by thrombocytosis and malfunction of platelets. Both thrombosis and bleeding due to thrombocytosis may occur. An 81year-old female patient complicated with ET underwent mitral valve replacement using a bioprosthetic valve due to severe mitral regurgitation. She had been diagnosed and treated with the hydroxycarbamide for ET. The hydroxycarbamide had been interrupted 14 days before the surgery, to prevent infection and delayed wound healing. At hospitalization for surgery, her platelet count rose to 1,290,000 μl from 790,000 μl. Readministration of a half dose of the hydroxycarbamide lowered the platelets to her original level. During the operation, more heparin was necessary to control activated coagulation time for cardiopulmonary bypass. She was discharged unaffectedly on 25 POD.

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Successful Surgical Treatment of Left Ventricular Aneurysm with a Mobile Thrombus Concomitant with Essential Thrombocythemia

Kubota¹,

Hirai²,

Aoyama³

et al. 2020

J. J. C. V. S.

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A Case Report of Anesthesia for Abdominal Aortic Aneurysm of a Patient with Essential Thrombocythemia

Cited by 3 publications

References 5 publications

Multiple cardiac surgical procedures in a case of an octogenarian with essential thrombocythemia

Multiple cardiac surgical procedures in a case of an octogenarian with essential thrombocythemia

A Case of Mitral Valve Replacement Complicated with Essential Thrombocythemia Preoperatively Interrupting Hydroxycarbamide

Successful Surgical Treatment of Left Ventricular Aneurysm with a Mobile Thrombus Concomitant with Essential Thrombocythemia

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