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[Mitral regurgitation associated with essential thrombocythemia and gallbladder cancer]

Hisayoshi Osawa1, Taku Sakurada, Jun Sasaki

  • 1Department of Cardiovascular Surgery, Sapporo Chuo Hospital, Sapporo, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|June 11, 2010
PubMed

Insights

This study reports a successful case of treating a patient with both cardiac failure and gallbladder cancer. The patient underwent simultaneous gallbladder removal and mitral valve repair, showing no recurrence after two years.

Area of Science:

  • Cardiology
  • Surgical Oncology

Background:

  • Essential thrombocythemia can present with cardiac complications.
  • Gallbladder cancer can be incidentally discovered during cardiac evaluations.

Observation:

  • A 64-year-old male with essential thrombocythemia presented with cardiac failure and severe mitral regurgitation.
  • Incidental ultrasonography revealed a gallbladder tumor, suspected to be malignant.
  • The patient's cardiac failure was treated, followed by cholecystectomy.

Findings:

  • Pathology confirmed stage I (T1N0M0) gallbladder carcinoma.
  • The patient underwent successful concomitant mitral valve plasty and maze operation.
  • Postoperative course was uneventful with activated coagulation time maintained over 400 sec with heparin.

Implications:

  • This case highlights the feasibility of combined surgical treatment for concurrent cardiac and gallbladder malignancies.
  • Successful management suggests a potential approach for patients with complex comorbidities.
  • Long-term follow-up demonstrated no recurrence of gallbladder carcinoma or mitral regurgitation.

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