title: Infrainguinal bypass surgery for chronic arterial occlusive disease associated with essential thrombocythemia: report of a case.
abstract: A 63-year-old man was referred to our hospital with a 3-year history of intermittent claudication, and his angiogram showed a total occlusion of the bilateral infrainguinal arteries. In addition, based on a platelet count of 172 x 10(4)/mm(3) as well as the characteristic bone marrow findings, he was diagnosed to have essential thrombocythemia. After the platelet count and aggregation response improved on administration of ranimustine and antiplatelet agents, infrainguinal bypass surgery was performed using the saphenous vein and prosthetic grafts. The bilateral grafts had been patent for 10 months postoperatively, but his discontinuance of medication caused an acute occlusion of the prosthetic graft. The graft was salvaged with a prompt thrombectomy and, now under strict medication control, he is leading an active life.
authors.affiliation: Department of Surgery, Hyogo Prefectural Awaji Hospital,Sumoto, Hyogo 656-0013, Japan.
authors.forename: Takaki
authors.initials: T
authors.lastname: Sugimoto
authors.forename: Takashi
authors.initials: T
authors.lastname: Kitade
authors.forename: Takeshi
authors.initials: T
authors.lastname: Mimura
authors.forename: Takashi
authors.initials: T
authors.lastname: Koyama
authors.forename: Takeshi
authors.initials: T
authors.lastname: Hatta
authors.forename: Sigeru
authors.initials: S
authors.lastname: Kurisu
authors.forename: Kazuya
authors.initials: K
authors.lastname: Kodama
authors.forename: Shingo
authors.initials: S
authors.lastname: Wakatsuki
mesh_terms: D015901:Angiography, Digital Subtraction; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D006801:Humans; D007264:Inguinal Canal; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000000981:diagnostic imaging; D013920:Thrombocythemia, Essential / Q000150:complications*