Annals of Thoracic and Cardiovascular Surgery
Online ISSN : 2186-1005
Print ISSN : 1341-1098
ISSN-L : 1341-1098
Cardiac Surgery Using Hypothermic Circulatory Arrest in a Case of Essential Thrombocythemia
Masahide EnomotoTakeshi KinoshitaYasuo KondoTomoaki SuzukiTohru Asai
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JOURNALS OPEN ACCESS Advance online publication

Article ID: cr.17-00241

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Abstract

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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© 2018 The Editorial Committee of Annals of Thoracic and Cardiovascular Surgery

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