Peripheral bypass grafting in a patient with essential thrombocytosis: What should a vascular surgeon know?

Burak Onan,

doi:10.5606/tgkdc.dergisi.2012.064

Burak Onan¹, Kürşad Öz¹, İsmihan Selen Onan²

¹Department of Cardiovascular Surgery, Dr. Lütfi Kırdar Kartal Training and Research Hospital, İstanbul, Turkey
²Department of Cardiovascular Surgery, İstanbul Bilim University, Florence Nightingale Hospital, İstanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2012.064

Hypercoagulable states can be associated with native arterial and arterial graft thrombosis. Other than congenital protein deficiencies, myeloproliferative disorders may also lead to thrombotic vascular events. Essential thrombocytosis (ET) is a rare cause for peripheral arterial thrombosis and associated extremity ischemia. In this article, we present a 57-year-old male who was admitted with rest pain and non-healing ulcers on the left toe and diagnosed with an isolated severe stenosis of superficial femoral artery due to ET. This report also reviews the literature on ET which may cause extremity ischemia, and clinical management of this rare pathology from the surgical point of view.

Keywords : Essential thrombocytosis; extremity ischemia; peripheral artery disease

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