Acute coronary occlusion and in-stent thrombosis in a patient with essential thrombocythemia.
We describe a case of essential thrombocythemia in a 34-year-old male who presented with acute anterior wall myocardial infarction and a platelet count of 2,100,000/mm3. Primary percutaneous coronary angioplasty and stenting were performed. Postangioplasty course was complicated by stent thrombosis requiring repeat coronary angioplasty and persistent femoral arterial bleeding that was treated with surgical exploration and repair. The patient was subsequently treated with platelet pheresis, acetylsalicylic acid, ticlopidine, hydroxyurea, and anagrelide without further complications.
Turgut
T
T
Department of Cardiology, Ochsner Medical Institutions, New Orleans, Louisiana 70121, USA.
Harjai
K J
KJ
Edupuganti
R
R
Cole
J
J
Jenkins
J S
JS
Ramee
S R
SR
Collins
T J
TJ
D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D005263:Femoral Artery; D006083:Graft Occlusion, Vascular / Q000000981:diagnostic imaging / Q000209:etiology*; D006488:Hemostasis, Surgical; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000628:therapy*; D012008:Recurrence; D015607:Stents; D013920:Thrombocythemia, Essential / Q000150:complications*