Cardiac Surgery Using Hypothermic Circulatory Arrest in a Case of Essential Thrombocythemia

We present the case of a 61-year-old patient with a history of essential thrombocythemia (ET) who was diagnosed as having aortic valve stenosis and dilatation of his ascending aorta. His aortic valve and ascending aorta were replaced under hypothermic circulatory arrest (HCA). No clear guideline exi...

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Autores principales: Enomoto, Masahide, Kinoshita, Takeshi, Kondo, Yasuo, Suzuki, Tomoaki, Asai, Tohru
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7641890/
https://www.ncbi.nlm.nih.gov/pubmed/29925725
http://dx.doi.org/10.5761/atcs.cr.17-00241
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author Enomoto, Masahide
Kinoshita, Takeshi
Kondo, Yasuo
Suzuki, Tomoaki
Asai, Tohru
author_facet Enomoto, Masahide
Kinoshita, Takeshi
Kondo, Yasuo
Suzuki, Tomoaki
Asai, Tohru
author_sort Enomoto, Masahide
collection PubMed
description We present the case of a 61-year-old patient with a history of essential thrombocythemia (ET) who was diagnosed as having aortic valve stenosis and dilatation of his ascending aorta. His aortic valve and ascending aorta were replaced under hypothermic circulatory arrest (HCA). No clear guideline exists for preoperative, perioperative, and postoperative management of cardiac surgery using HCA for ET patients. After performing risk assessment, we prescribed preoperative aspirin therapy and postoperative care was planned as usual for cardiovascular surgery in our establishment. Unexpectedly, activated clotting time did not exceed 400 seconds, but the course of treatment was otherwise uneventful.
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spelling pubmed-76418902021-01-08 Cardiac Surgery Using Hypothermic Circulatory Arrest in a Case of Essential Thrombocythemia Enomoto, Masahide Kinoshita, Takeshi Kondo, Yasuo Suzuki, Tomoaki Asai, Tohru Ann Thorac Cardiovasc Surg Case Report We present the case of a 61-year-old patient with a history of essential thrombocythemia (ET) who was diagnosed as having aortic valve stenosis and dilatation of his ascending aorta. His aortic valve and ascending aorta were replaced under hypothermic circulatory arrest (HCA). No clear guideline exists for preoperative, perioperative, and postoperative management of cardiac surgery using HCA for ET patients. After performing risk assessment, we prescribed preoperative aspirin therapy and postoperative care was planned as usual for cardiovascular surgery in our establishment. Unexpectedly, activated clotting time did not exceed 400 seconds, but the course of treatment was otherwise uneventful. The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery 2018-06-21 2020 /pmc/articles/PMC7641890/ /pubmed/29925725 http://dx.doi.org/10.5761/atcs.cr.17-00241 Text en ©2020 Annals of Thoracic and Cardiovascular Surgery http://creativecommons.org/licenses/by-nc-nd/4.0/ This work is licensed under a Creative Commons Attribution-NonCommercial-NonDerivatives International License (http://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
Enomoto, Masahide
Kinoshita, Takeshi
Kondo, Yasuo
Suzuki, Tomoaki
Asai, Tohru
Cardiac Surgery Using Hypothermic Circulatory Arrest in a Case of Essential Thrombocythemia
title Cardiac Surgery Using Hypothermic Circulatory Arrest in a Case of Essential Thrombocythemia
title_full Cardiac Surgery Using Hypothermic Circulatory Arrest in a Case of Essential Thrombocythemia
title_fullStr Cardiac Surgery Using Hypothermic Circulatory Arrest in a Case of Essential Thrombocythemia
title_full_unstemmed Cardiac Surgery Using Hypothermic Circulatory Arrest in a Case of Essential Thrombocythemia
title_short Cardiac Surgery Using Hypothermic Circulatory Arrest in a Case of Essential Thrombocythemia
title_sort cardiac surgery using hypothermic circulatory arrest in a case of essential thrombocythemia
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7641890/
https://www.ncbi.nlm.nih.gov/pubmed/29925725
http://dx.doi.org/10.5761/atcs.cr.17-00241
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