Aortic thrombus due to essential thrombocytosis: strategies for medical and surgical management.
Essential thrombocytosis (ET) remains a rare cause of aortic thromboembolic disease. Management options vary based on the state of clinical presentation and range from observation and medical management to immediate operative intervention. We report a case of ET causing "trash foot" from an aortic thrombus. The patient was administered appropriate cytoreductive therapy and eventually underwent an aortic interposition graft. The various management strategies are discussed.
Department of Surgery, Madigan Army Medical Center, Tacoma, WA 98327, USA. vance.sohn@us.army.mil
Vance
V
Sohn
Zachary
Z
Arthurs
Charles
C
Andersen
Benjamin
B
Starnes
D000925:Anticoagulants / Q000627:therapeutic use*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D001027:Aortography / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D005528:Foot / Q000098:blood supply; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D013922:Thrombocytosis / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D000925:Anticoagulants