Related Experiment Video
Updated: Aug 22, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Aortic valve replacement for a patient with essential thrombocythemia: a case report
Susan Jones Englert1, Jun Jiang
1HCA Fresenius Medical Care, Extracorporeal Alliance, Wesley Medical Center, Wichita, Kansas 67230, USA. sjenglert@cox.net
Abstract:
A 51-year-old male patient with 3+ aortic insufficiency, hepatitis C, osteomyelitis right foot, and a preoperative platelet count 1.3 million/mm3 required cardiopulmonary bypass (CPB). Essential thrombocythemia is a relatively unknown entity with the utilization of CPB. After consulting with the surgeon, an anesthesiologist and another perfusionist, a team approach was used to discuss treatment for this patient during CPB. The treatment consisted of exchange transfusions, autotransfusion techniques, and current protocol for blood gas management. No incidence of hypercoagulability was observed during this procedure or postoperatively. Based on current knowledge of pathophysiology and review of the literature, plateletpheresis should be the current management of essential thrombocythemia.
More Related Videos
Related Concept Videos
Venous Thrombosis III: Interprofessional Care
Aortic Regurgitation III: Medical Management
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aortic Regurgitation I: Introduction
Mitral Valve Prolapse II: Assessment and Management
Mitral Stenosis III: Medical Management

