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

ENOMOTO Masahide 0000-0002-1854-9566 KINOSHITA Takeshi 90437161 0000-0002-1290-0650 KONDO Yasuo 90192583 0000-0002-2122-4578 SUZUKI Tomoaki 80402709 0000-0001-5836-899X ASAI Tohru 60346012 滋賀医科大学

2020.10.21

概要

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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