Polycythemia vera is a chronic progressive myeloproliferative
disease characterized by increased circulating
red blood cells , and the hyperviscosity of the
blood can
lead to an increased
risk of arterial
thrombosis . In a previous
survey regarding postoperative outcomes in
polycythemia vera patients , an increased
risk of both vascular occlusive and hemorrhagic
complications have been reported. Aortic
surgery involving
cardiopulmonary bypass may be associated with the development of a coagulopathy, and as a result, the occurrence of thrombotic
complications should be avoided after coronary anastomosis. Thus, optimizing the
hemostatic balance is an important concern for
anesthesiologists . However, only a few cases of
anesthetic management in
polycythemia vera patients undergoing concomitant
aorta and coronary arterial bypass
surgery have ever been reported. Here, we experience a
polycythemia vera patient who underwent an
emergency repair of a type-A
aortic dissection and concomitant
coronary artery bypass grafting , and
report this case with a
review of the relevant
literature .