Journal of Chest Surgery

  • 제49권5호
  • /
  • Pages.397-400
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  • 2016
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  • 2765-1606(pISSN)
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  • 2765-1614(eISSN)
대한심장혈관흉부외과학회 (The Korean Society for Thoracic and Cardiovascular Surgery)
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Essential Thrombocytosis-Associated Thromboembolism in the Abdominal Aorta

  • Chong, Byung Kwon (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Mun, Dana (Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kang, Chae Hoon (Department of Radiology, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Park, Chong-bin (Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine) ;
  • Cho, Won Chul (Department of Thoracic and Cardiovascular Surgery, Gangneung Asan Hospital, University of Ulsan College of Medicine)
  • 투고 : 2015.10.19
  • 심사 : 2016.11.10
  • 발행 : 2016.10.05
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초록

Essential thrombocytosis (ET) is a myeloproliferative disorder characterized by an anomalous increase in platelet production. Many patients with ET are asymptomatic. Few studies have reported ET-associated thromboembolism in large vessels such as the aorta. We report a patient with ET who presented with peripheral embolism from an abdominal aortic thrombus and developed acute limb ischemia. The patient underwent aortic replacement successfully. The patient's platelet count was controlled with hydroxyurea, and no recurrence was noted over 2 years of follow-up.

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참고문헌

  1. Tefferi A, Thiele J, Orazi A, et al. Proposals and rationale for revision of the World Health Organization diagnostic criteria for polycythemia vera, essential thrombocythemia, and primary myelofibrosis: recommendations from an ad hoc international expert panel. Blood 2007;110:1092-7. https://doi.org/10.1182/blood-2007-04-083501
  2. Lorelli DR, Shepard AD. Aortic mural thrombus embolization: an unusual presentation of essential thrombocytosis. Ann Vasc Surg 2002;16:375-9. https://doi.org/10.1007/s10016-001-0077-9
  3. Morata Barrado PC, Blanco Canibano E, Garcia Fresnillo B, Guerra Requena M. Acute lower limb ischemia in a patient with aortic thrombus and essential thrombocytosis. Int J Hematol 2009;90:343-6. https://doi.org/10.1007/s12185-009-0394-2
  4. Oki M, Moriuchi M, Kawada H, Ogawa Y, Ando K. A case of essential thrombocythemia presenting with aortic thrombosis. Tokai J Exp Clin Med 2008;33:135-7.
  5. Sohn V, Arthurs Z, Andersen C, Starnes B. Aortic thrombus due to essential thrombocytosis: strategies for medical and surgical management. Ann Vasc Surg 2008;22:676-80. https://doi.org/10.1016/j.avsg.2007.12.018
  6. Luebke T, Aleksic M, Brunkwall J. Endovascular therapy of a symptomatic mobile thrombus of the thoracic aorta. Eur J Vasc Endovasc Surg 2008;36:550-2. https://doi.org/10.1016/j.ejvs.2008.07.004
  7. Harrison CN, Campbell PJ, Buck G, et al. Hydroxyurea compared with anagrelide in high-risk essential thrombocythemia. N Engl J Med 2005;353:33-45. https://doi.org/10.1056/NEJMoa043800

피인용 문헌

  1. Essential Thrombocythemia Complicated by Occlusive Thrombosis of the Abdominal Aorta vol.2019, pp.None, 2019, https://doi.org/10.1155/2019/9454501
  2. Two effective cases of additional pedal artery angioplasty for severe lower limb ischemia following acute thrombotic artery occlusion with hypercoagulable state diseases vol.3, pp.1, 2016, https://doi.org/10.1186/s42155-020-00166-7