[Anesthetic experience of a patient with essential thrombocythemia].
We reported a 54-year-old male with essential thrombocythemia, who underwent coronary artery bypass grafting. Anesthesia was maintained with enflurane in nitrous oxide and oxygen supplemented with fentanyl. Heparin 7mg. kg-1 was administered intravenously to obtain adequate anticoagulant effect during 89 minutes of extracorporeal circulation. Aspirin and dipyridamole were also administered as anti-platelet therapy. No complications were observed during and after anesthesia. It is advocated that administration of anticoagulants such as heparin, aspirin and dipyridamole is effective to prevent thrombus formation.
Kotani
N
N
Department of Anesthesiology, University of Hirosaki School of Medicine.
Sakai
T
T
Ohshima
S
S
Kudoh
A
A
Dobashi
N
N
Matsuki
A
A
D000769:Anesthesia, Inhalation; D000925:Anticoagulants / Q000627:therapeutic use*; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D008875:Middle Aged; D013920:Thrombocythemia, Essential / Q000150:complications*
D000925:Anticoagulants