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Case Reports
. 2022 Jun 15;35(1):ivac143.
doi: 10.1093/icvts/ivac143.

Ruxolitinib withdrawal complicating emergency aortic root replacement

Affiliations
Case Reports

Ruxolitinib withdrawal complicating emergency aortic root replacement

Malgorzata Maggie Szpytma et al. Interact Cardiovasc Thorac Surg. .

Abstract

Ruxolitinib, a Janus kinase inhibitor, is associated with severe withdrawal phenomena. Adequate tapering is often underemphasized in surgical emergencies and can complicate the postoperative course. We present a case of acute ruxolitinib withdrawal in a gentleman undergoing emergency cardiac surgery.

Keywords: Aortic syndrome; Cardiac surgery; Ruxolitinib.

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Figures

Figure 1:
Figure 1:
Preoperative computed tomography angiography (A) axial (B) coronal and (C) 3D reconstruction.
Figure 2:
Figure 2:
Postoperative trans-oesophageal echocardiogram of aortic valve and left ventricular outflow tract. Arrows depict clot abutting valve leaflets (A/B).

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