Aortic thrombus due to essential thrombocytosis: strategies for medical and surgical management.

Essential thrombocytosis (ET) remains a rare cause of aortic thromboembolic disease. Management options vary based on the state of clinical presentation and range from observation and medical management to immediate operative intervention. We report a case of ET causing "trash foot" from an aortic thrombus. The patient was administered appropriate cytoreductive therapy and eventually underwent an aortic interposition graft. The various management strategies are discussed.