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European Heart Journal 1994 15(8):1144-1146;
Copyright © 1994 by the European Society of Cardiology.
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© 1994 The European Society of Cardiology

Reactive thrombocytosis and stroke following cardiopulmonary bypass surgery: case report on three patients

J. J. CROWLEY, M. HANNIGAN and K. DALY

Department of Cardiology, University College Hospital Galway, Ireland

Received 25 October 1993; revised 24 February 1994; .

Correspondence. Dr J. Crowley, Regional Cardiothoracic Unit, Papworth Hospital, Papworth Everard, Cambridge CB3 8RE, U. K

Abstract

Reactive thrombocytosis following cardiopulmonary bypass surgery is generally considered to be a benign condition which is transient and does not require specific therapy. We describe three patients who developed stroke in association with reactive thrombocytosis in the late recovery period following cardiopulmonary bypass surgery. No evidence of embolic or cerebrovascular disease was detected in any patient. Analysis of a larger group of patients is required in order to determine whether reactive thrombocytosis may contribute to the pathogenesis of stroke in some patients following cardiopulmonary bypass surgery.

Key Words: Thrombocytosis • stroke • surgery


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