| Study |
Age/
Sex |
Presentation |
HCT |
Initial
Treatment |
PCI finding |
Intervention |
Post –op treatment |
Long term treatment |
Outcome |
Remarks |
| Vengoni et al. [9] |
66/F |
STEMI |
57% |
Aspirin Phlebotomy Heparin |
Occlusive thrombus in proximal LAD |
Urokinase 500, 000 units followed by PTCA |
Within 24 hours developed refractory cardiogenic shock |
Not reported |
Dead |
Hematocrit 41% prior to first PCI. Repeat PCI showed no thrombosis. |
| Bahbahani et al. [3] |
37/M |
STEMI |
50% |
Aspirin Plavix Lovenox |
Not performed due to lack of availability in that facility |
Reteplase 10 units bolus, then 10 units given intravenously over 30 min, |
- |
Aspirin Hydroxyurea Phlebotomy |
Alive |
Myocardial perfusion scintigraphy one month later was normal |
| Osada et al. [7] |
65/M |
Stable angina |
59% |
Aspirin (until day before surgery) Heparin (until morning of surgery) Phlebotomy intra-op |
Proximal LAD showed 99% ; Mid LAD showed 75% , OM showed 90% stenoses |
CABG |
Post op day 1 developed STEMI . PCI showed thrombosis of native and graft as well s/p PTCA |
Aspirin Plavix Warfarin |
Alive |
|
| Oz et al. [8] |
46/M |
Unstable angina |
47% |
Aspirin Phlebotomy |
LAD showed 80-90% ; LCX showed 70%; RCA showed 80% stenoses |
CABG |
Heparin in early post op period |
Aspirin, Plavix, Warfarin |
Alive |
Diagnosed with PV ~2 years prior. Hematocrit was 42% prior to CABG |
| Oz et al. [8] |
61/F |
Stable angina positive stress test |
40% |
Aspirin Hydroxyurea |
LAD showed 80% RCA showed 90% stenoses |
CABG |
Heparin in early post op period |
Aspirin,
Plavix,
Warfarin
Hydroxyurea |
Alive |
On treatment for PV ~ 3 years prior |
| Wu et al. [2] |
34/M |
STEMI |
65% |
Aspirin Plavix Heparin Phlebotomy |
Mid LAD 60% occlusion with a distal thrombotic occlusion |
No intervention |
Phlebotomy |
Not reported |
Alive |
Discharged with hematology follow up |
| Chan et al. [4] |
42/M |
Unstable angina |
71% |
Aspirin, Heparin, phlebotomy |
LAD thrombosis distal to perforating branches otherwise normal coronaries |
No intervention |
- |
Warfarin |
Alive |
On day 7 echo showed large intraventricular thrombus |
| Hermanns et al. [6] |
30/M |
Acute MI |
61% |
- |
Not performed |
Tissue plasminogen activator 100mg/2hr |
Developed refractory cardiogenic shock failed resuscitation |
|
Dead |
Autopsy showed no evidence of atherosclerosis but marked intimal proliferation noted |
