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Updated: Jun 28, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
Celiac artery thrombosis in a young patient with multiple platelet receptor polymorphisms and local compression
Jens Rudolph1, Siamak Pourhassan, Fuat Saner
1Department of Vascular Surgery and Kidney Transplantation, University Hospital Düsseldorf, Düsseldorf, Germany. dr.j.rudolph@t-online.de
Insights
Platelet receptor polymorphisms may increase risk for artery thrombosis, especially with pre-existing vascular damage like compression syndromes. This case highlights their role in acute celiac artery thrombosis.
Area of Science:
- Cardiovascular Medicine
- Genetics
- Vascular Surgery
Background:
- Numerous studies link platelet receptor polymorphisms to early myocardial infarction.
- The role of these polymorphisms in visceral artery occlusive diseases remains unclear.
Observation:
- A young woman presented with acute celiac artery thrombosis.
- Intraoperative findings suggested a local vascular compression syndrome.
- The patient had multiple platelet receptor polymorphisms.
Findings:
- Platelet receptor polymorphisms appear to be a moderate risk factor for artery thrombosis.
- This risk is evident across different vascular regions.
- Pre-existing vascular damage, such as compression syndromes, is a necessary precondition.
Implications:
- Platelet receptor polymorphisms may contribute to visceral artery thrombosis in susceptible individuals.
- Early identification and management of vascular compression syndromes are crucial.
- Further research is warranted to elucidate the precise mechanisms linking polymorphisms to thrombosis.
Abstract:
Numerous clinical and experimental studies have been published concerning platelet receptor polymorphism and their role in causing myocardial infarction at an earlier age. It is still unclear, however, whether these polymorphisms are a risk factor for other occlusive diseases such as those in visceral arteries. We report a case of a young woman with acute celiac artery thrombosis and multiple platelet receptor polymorphisms. In addition, the intraoperative exploration showed some evidence of a local vascular compression syndrome. The patient was successfully treated with a bypass procedure and combined anticoagulation. It seems that platelet receptor polymorphisms are a moderate risk factor for local artery thrombosis regardless of vascular region. The obligatory precondition is pre-existing vascular damage, such as that caused by a local compression syndrome.
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