Sadahiro M, Hino H, Senoo S
Department of Thoracic and Cardiovascular Surgery, Tohoku University School of Medicine, Sendai, Japan.
Nihon Geka Gakkai Zasshi. 1995 Mar;96(3):198-201.
A 58-year-old man was admitted to our hospital suffering from intermittent claudication and angiogram revealed complete obstruction of the left common iliac artery. The essential thrombocythemia was diagnosed from platelet count over 1,000,000/mm3 as well as bone marrow finding. After the platelet count was reduced into normal range by administration of ranimustine (MCNC), abdominal aorta-femoral artery bypass grafting using 8mm-diameter Gelseal graft was successfully performed without any complications such as thrombus formation or bleeding. Coldness and cyanotic discoloration of the lower extremities were diminished with the decrease in platelet count. He was discharged in satisfactory condition and has been on postoperative control with warfarin, ticlopidine chloride and aspirin therapy.
一名58岁男性因间歇性跛行入院，血管造影显示左髂总动脉完全阻塞。根据血小板计数超过1,000,000/mm³以及骨髓检查结果诊断为原发性血小板增多症。在使用雷尼莫司汀（MCNC）使血小板计数降至正常范围后，成功进行了使用8毫米直径Gelseal移植物的腹主动脉-股动脉旁路移植术，未出现血栓形成或出血等并发症。随着血小板计数的降低，下肢的寒冷和发绀变色减轻。他出院时情况良好，术后一直在接受华法林、氯吡格雷和阿司匹林治疗的随访。
