Aortic valve replacement in a young patient with essential thrombocytosis

Kashif Ahmed, Hunaid A. Vohra, Alison Milne, Stephen M. Langley

    Research output: Contribution to journalArticle

    9 Scopus citations

    Abstract

    Essential Thrombocythcythaemia (ET) is an uncommon type of myeloproliferative disorder, characterised by both thrombotic and haemorrhagic diathesis. No clear guidelines exist for the pre- and post-operative management of patients undergoing cardiac surgery in the haematological and surgical literature. This condition has profound implications in patients undergoing cardiac surgery with the use of cardiopulmonary bypass, where heparin is used for anti-coagulation. This dilemma is further compounded in the setting of a young patient undergoing aortic valve replacement (AVR), where insertion of a mechanical prosthesis would be the procedure of choice. This would require life-long anticoagulation with warfarin which can predispose these patients to catastrophic bleeding. Using a tissue valve will subject the patient to multiple redo operations in the patient's lifetime. We report a young patient with ET requiring AVR and discuss the dilemmas surrounding the choice of prosthesis in this patient.

    Original languageEnglish (US)
    Article number5
    JournalJournal of Cardiothoracic Surgery
    Volume3
    Issue number1
    DOIs
    StatePublished - Jan 30 2008

    ASJC Scopus subject areas

    • Surgery
    • Pulmonary and Respiratory Medicine
    • Cardiology and Cardiovascular Medicine

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