Arterial and venous thrombosis due to primary thrombocytosis after splenectomy

Okay Güven Karaca; Mehmet Taşar; Mehmet Kalender; Ata Niyazi Ecevit; Mine Tavlı Yılmaz

doi:10.5606/tgkdc.dergisi.2014.9541

Okay Güven Karaca¹, Mehmet Taşar², Mehmet Kalender¹, Ata Niyazi Ecevit¹, Mine Tavlı Yılmaz¹

Department of Cardiovascular Surgery, Konya Training and Research Hospital, Konya, Turkey
¹Department of Cardiovascular Surgery, Konya Training and Research Hospital, Konya, Turkey
²Department of Cardiovascular Surgery, Medical Faculty of Ankara University, Ankara, Turkey
³Department of Cardiovascular Surgery, Tire State Hospital, İzmir, Turkey

DOI : 10.5606/tgkdc.dergisi.2014.9541

Patients with myeloproliferative disorders such as primary thrombocytosis are prone to vascular thrombotic events. Splenectomy is also a risk factor for thrombocytosis. Such significant thrombosis may cause serious extremity or cardiac problems. It is beneficial to use prophylactic platelet anti-aggregating medication such as aspirin, cytoreductive agents such as hydroxyurea or anticoagulation with close monitoring in these patients that have additional risk factors. In this article, we present a case for whom medical therapy was more important and life-saving than surgery for peripheral vascular thrombosis after splenectomy operation.

Keywords : Myeloproliferative disorder; peripheral arterial disease; splenectomy

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