Abstract
The case is reported of a 46-year-old male patient with polycythemia vera (PV) treated with phlebotomy who developed an occlusive thrombosis of the superior mesenteric artery 2 years after the diagnosis. He was successfully managed with percutaneous transluminal angioplasty. The patient did not develop any other thrombotic phenomena. To our knowledge, there are no previous reports on the use of percutaneous transluminal angioplasty in the management of arterial thrombotic complications in PV patients.
This is a preview of subscription content, log in via an institution to check access.
References
Berk PD, Glodberg JD, Donovan PB, et al (1986) Therapeutic recommendations in polycythemia vera based on Polycythemia Vera Study Group protocols. Semin Hematol 123:132–143
Rigby PG, Leavell BS (1960) Polycythemia vera. A review of fifty cases with emphasis on the risk of surgery. Arch Intern Med 106:622–628
Chievitz E, Thiede T (1962) Complications and causes of death in polycythaemia vera. Acta Med Scand 172:513–523
Schafer AI (1984) Bleeding and thrombosis in the myeloproliferative disorders. Blood 64:1–12
Messinezy M, Pearson TC, Prochazka A, et al (1985) Treatment of primary proliferative polycythemia by venesection and low dose of busulfan: retrospective study from one centre. Br J Haematol 61:657–666
Orlandi E, Castelli G, Brusamolino E, et al (1984) Haemorrhagic and thrombotic complications in polycythemia vera. A clinical study. Hematologica (Pavia) 74:45–49
Wehmeier A, Scharf RE, Fricke S, et al (1989) Bleeding and thrombosis in chronic myeloproliferative disorders: relation of platelet disorders to clinical aspects of the disease. Haemostasis 19:251–259
Wehmeier A, Daum I, Jamin H, et al (1991) Incidence and clinical risk factors for bleeding and thrombotic complications in myeloproliferative disorders. A restrospective analysis of 260 patients. Hematology 63:101–106
Schwarcz TH, Hogan LA, Endean ED, et al (1993) Thromboembolic complications of polycythemia: polycythemia vera versus smoker's polycythemia. J Vase Surg 17:518–523
Najean Y, Dresch C, Rain JJ (1994) The very-long-term course of polycythemia: a complement to the previous published data of the Polycythemia Vera Study Group. Br J Haematol 86:233–235
Mitchell MC, Boitnott JK, Kaufman S, et al (1982) Budd-Chiari syndrome: etiology, diagnosis and management. Medicine (Baltimore) 61:199–216
Wasserman LR, Goldberg JD, Balcerzak SP, et al for the Polycythemia Vera Study Group (1981) Influence of therapy on causes of death in polycythemia vera. Clin Res 29:573A
Wasserman LR, Gilbert HS (1966) Complications of polycythemia vera. Semin Hematol 3:199–203
Wehmeier A, Fricke S, Scharf RE, et al (1990) A prospective study of haemostatic parameters in relation to the clinical course of myeloproliferative disorders. Eur J Haematol 45:191–197
Tartaglia A, Goldberg JD, Berk PD et al (1986) Adverse effects of antiaggregating platelet therapy in the treatment of polycythemia vera. Semin Hematol 23:23–28
Weinfield A, Swolin B, Wastin J (1994) Acute leukemia after hydroxyurea therapy in polycythemia vera and allied disorders: prospective study of efficacy and leukemogenicity with therapeutic implications. Eur J Haematol 52:134–139
Kaplan ME, Mack K, Goldberg JD, et al (1986) Long-term management of polycythemia vera with hydroxyurea: a progress report. Semin Hematol 23:167–171
Dotter CT, Judkins MP (1964) Transluminal treatment of arteriosclerotic obstruction: description of a new technique and a preliminary report of its application. Circulation 30:654–670
Dunbar JD, Molnar W, Beman FF (1965) Compression of the coeliac trunk and abdominal angina: preliminary report of 15 cases. AJR 95:731–744
Ripley HR, Levin SM (1966) Abdominal angina associated with fibromuscular hyperplasia of the coeliac and superior mesenteric arteries. Angiology 17:297–310
Odurny A, Sniderman KW, Colapinto RF (1988) Intestinal angina: percutaneous transluminal angioplasty of the coeliac and superior mesenteric arteries. Radiology 167:59–62
Warnock NG, Gaines PA, Beard JD, et al (1992) Treatment of intestinal angina by percutaneous transluminal angioplasty of a superior mesenteric occlusion. Clin Radiol 45:18–19
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Bertrán, X., Muchart, J., Planas, R. et al. Occlusion of the superior mesenteric artery in a patient with Polycythemia vera: Resolution with percutaneous transluminal angioplasty. Ann Hematol 72, 89–91 (1996). https://doi.org/10.1007/BF00641315
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00641315