Right ventricular mass and pulmonary embolism in a patient with essential thrombocythemia

Abstract

We report a case of a patient with essential thrombocythosis with a right ventricular mass and massive pulmonary embolism following an abdominal operation and who was operated on due to severe hemodynamic instability.

Pulmonary embolism after minor surgery in a patient with low-risk thrombocythemia

“…However, pulmonary embolism occurred, probably at the time of the second walk by the patient 12 h after the surgery. The findings in this patient and a recent case report [2] suggest that the prevention of DVT by intermittent pneumatic compression and/or anticoagulant prophylaxis, such as low-dose heparin administration, should be considered in patients with low-risk ET, even for minor surgery. …”

“…The risk of thrombosis in ET patients aged less than 60 years, with no thrombotic history, and a platelet count of less than 1 500 000/mm 3 is not increased, and clinical observation alone is recommended, based on the results of a prospective study [1]. However, pulmonary embolism after abdominal surgery in a patient with low-risk thrombocythemia has recently been reported [2]. We report here the occurrence of pulmonary embolism shortly after hand and shoulder surgery in a patient with low-risk ET.…”