Premium
Unsuccessful surgical treatment of thoracic aortic thrombosis in a patient with essential thrombocythemia
Author(s) -
Suzuki Keito,
Sezai Akira,
Tanaka Masashi
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14286
Subject(s) - medicine , thrombosis , essential thrombocythemia , surgery , descending aorta , incidence (geometry) , thoracic aorta , sepsis , empyema , aorta , platelet , physics , optics
Essential thrombocythemia (ET) is a rare condition with an incidence of several persons per million in Japan, while the incidence of thrombosis ranges from 11% to 25%. We present a woman in her 70 seconds with ET who developed small intestinal necrosis and thrombosis in the proximal descending aorta. The patient underwent partial small bowel resection and replacement of the descending aorta, followed by multiple reoperations for thrombotic and hemorrhagic complications. She eventually died of empyema and sepsis caused by Klebsiella oxytoca. In patients with ET and large vessel thrombosis, we have to carefully judge the indications for surgery.