CORONARY-ARTERY BYPASS-GRAFTING FOR LEFT MAIN TRUNK CORONARY-ARTERY LESION ASSOCIATED WITH ESSENTIAL THROMBOCYTHEMIA

被引：12
作者：
MOMIYAMA, T [1 ]
HIRANAKA, T [1 ]
NOMURA, F [1 ]
TOMINAGA, H [1 ]
NISHIOKA, T [1 ]
机构：
[1] KINAN GEN HOSP,DEPT CARDIOVASC SURG,WAKAYAMA,JAPAN
来源：
CLINICAL CARDIOLOGY | 1993年 / 16卷 / 09期
关键词：
LMT LESION; CABG; ACUTE MYOCARDIAL INFARCTION; ESSENTIAL THROMBOCYTHEMIA;
D O I：
10.1002/clc.4960160912
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Effort angina due to left main trunk (LMT) lesion was diagnosed in a 58-year-old man. Platelet count was markedly increased and essential thrombocythemia was also diagnosed. Because of LMT disease, coronary artery bypass grafting (CABG) was performed prior to medication for essential thrombocythemia. There were no complications during the operation or in the early postoperative period. Melphalan was administered postoperatively resulting in the decrease of platelet count. Postoperative coronary angiography demonstrated that both grafts were patent; however, immediately after coronary angiography, the patient suffered from a sudden onset of myocardial infarction and cerebral infarction. The therapeutic problems associated with hematological disorder in such patients are discussed in this report.
引用
收藏
页码：691 / 693
页数：3
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