Multiple cardiac surgical procedures in a case of an octogenarian with essential thrombocythemia
Abstract 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 literat...
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| Language: | English |
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Japan Surgical Society
2023-06-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-023-01682-z |
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| author | Motohiro Maeda Shun-Ichiro Sakamoto Tomohiro Murata Atsushi Hiromoto Kenji Suzuki Yosuke Ishii |
| author_facet | Motohiro Maeda Shun-Ichiro Sakamoto Tomohiro Murata Atsushi Hiromoto Kenji Suzuki Yosuke Ishii |
| author_sort | Motohiro Maeda |
| collection | DOAJ |
| description | Abstract 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. |
| format | Article |
| id | doaj-art-75379a30d8134fea8c7a253776e9de79 |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-75379a30d8134fea8c7a253776e9de792025-08-20T02:52:08ZengJapan Surgical SocietySurgical Case Reports2198-77932023-06-01911510.1186/s40792-023-01682-zMultiple cardiac surgical procedures in a case of an octogenarian with essential thrombocythemiaMotohiro Maeda0Shun-Ichiro Sakamoto1Tomohiro Murata2Atsushi Hiromoto3Kenji Suzuki4Yosuke Ishii5Department of Cardiovascular Surgery, Nippon Medical School Musashikosugi HospitalDepartment of Cardiovascular Surgery, Nippon Medical School Musashikosugi HospitalDepartment of Cardiovascular Surgery, Nippon Medical SchoolDepartment of Cardiovascular Surgery, Nippon Medical School Musashikosugi HospitalDepartment of Cardiovascular Surgery, Nippon Medical School Musashikosugi HospitalDepartment of Cardiovascular Surgery, Nippon Medical SchoolAbstract 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.https://doi.org/10.1186/s40792-023-01682-zEssential thrombocythemiaHydroxycarbamideHydroxyureaCombined cardiac surgeryPerioperative management |
| spellingShingle | Motohiro Maeda Shun-Ichiro Sakamoto Tomohiro Murata Atsushi Hiromoto Kenji Suzuki Yosuke Ishii Multiple cardiac surgical procedures in a case of an octogenarian with essential thrombocythemia Surgical Case Reports Essential thrombocythemia Hydroxycarbamide Hydroxyurea Combined cardiac surgery Perioperative management |
| title | Multiple cardiac surgical procedures in a case of an octogenarian with essential thrombocythemia |
| title_full | Multiple cardiac surgical procedures in a case of an octogenarian with essential thrombocythemia |
| title_fullStr | Multiple cardiac surgical procedures in a case of an octogenarian with essential thrombocythemia |
| title_full_unstemmed | Multiple cardiac surgical procedures in a case of an octogenarian with essential thrombocythemia |
| title_short | Multiple cardiac surgical procedures in a case of an octogenarian with essential thrombocythemia |
| title_sort | multiple cardiac surgical procedures in a case of an octogenarian with essential thrombocythemia |
| topic | Essential thrombocythemia Hydroxycarbamide Hydroxyurea Combined cardiac surgery Perioperative management |
| url | https://doi.org/10.1186/s40792-023-01682-z |
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