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Postoperative thoracic hemorrhage after right upper lobectomy with thoracic wall resection during rivaroxaban anticoagulant therapy for deep leg vein thrombosis: A case report

INTRODUCTION: Postoperative pulmonary embolism (PE) is the one of the most important complications after thoracic surgery. This complicatin after the surgery is often treated by new anticoaglant drug, such as rivaroxaban, which dose not need to the monitoring of blood coaglation system. We experienc...

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Autores principales: Kuwata, Taiji, Kanayama, Masatoshi, Hirai, Ayako, Shinohara, Shuichi, Takenaka, Masaru, Oka, Soichi, Chikaishi, Yasuhiro, Imanishi, Naoko, Kuroda, Koji, Tanaka, Fumihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5686460/
https://www.ncbi.nlm.nih.gov/pubmed/29145107
http://dx.doi.org/10.1016/j.ijscr.2017.11.015
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author Kuwata, Taiji
Kanayama, Masatoshi
Hirai, Ayako
Shinohara, Shuichi
Takenaka, Masaru
Oka, Soichi
Chikaishi, Yasuhiro
Imanishi, Naoko
Kuroda, Koji
Tanaka, Fumihiro
author_facet Kuwata, Taiji
Kanayama, Masatoshi
Hirai, Ayako
Shinohara, Shuichi
Takenaka, Masaru
Oka, Soichi
Chikaishi, Yasuhiro
Imanishi, Naoko
Kuroda, Koji
Tanaka, Fumihiro
author_sort Kuwata, Taiji
collection PubMed
description INTRODUCTION: Postoperative pulmonary embolism (PE) is the one of the most important complications after thoracic surgery. This complicatin after the surgery is often treated by new anticoaglant drug, such as rivaroxaban, which dose not need to the monitoring of blood coaglation system. We experienced postoperative bleeding case during anticoaglant therapy using rivaroxaban. PRESENTATION OF CASE: The patient underwent a right upper lobectomy with lung and chest wall resection for lung cancer. On postoperative day (POD) 10, we started to use rivaroxaban to treat the deep vein thrombosis (DVT). Four days after starting the rivaroxaban treatment, severe surgical site hemorrhage occurred, which led to the need for the infusion of concentrated red cells (CRC). After stopping the rivaroxaban, the thoracic bleeding ceased. Because the event occurred so long after the surgery, and because the bleeding stopped after withdrawal of treatment, we believe that rivaroxaban induced the thoracic bleeding. CONCLUSION: Some reports in the field of orthopedics (Turpie et al., 2009) have noted that rivarxaban is effective to prevent postoperative DVT. However, there were few reports that invied the attention to postoperative bleeding be induced by rivarxaban. Thus, we describe this case in order to alert clinicians to the potential bleeding risks associated with the admistration of rivaroxaban postoperatively.
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spelling pubmed-56864602017-11-22 Postoperative thoracic hemorrhage after right upper lobectomy with thoracic wall resection during rivaroxaban anticoagulant therapy for deep leg vein thrombosis: A case report Kuwata, Taiji Kanayama, Masatoshi Hirai, Ayako Shinohara, Shuichi Takenaka, Masaru Oka, Soichi Chikaishi, Yasuhiro Imanishi, Naoko Kuroda, Koji Tanaka, Fumihiro Int J Surg Case Rep Article INTRODUCTION: Postoperative pulmonary embolism (PE) is the one of the most important complications after thoracic surgery. This complicatin after the surgery is often treated by new anticoaglant drug, such as rivaroxaban, which dose not need to the monitoring of blood coaglation system. We experienced postoperative bleeding case during anticoaglant therapy using rivaroxaban. PRESENTATION OF CASE: The patient underwent a right upper lobectomy with lung and chest wall resection for lung cancer. On postoperative day (POD) 10, we started to use rivaroxaban to treat the deep vein thrombosis (DVT). Four days after starting the rivaroxaban treatment, severe surgical site hemorrhage occurred, which led to the need for the infusion of concentrated red cells (CRC). After stopping the rivaroxaban, the thoracic bleeding ceased. Because the event occurred so long after the surgery, and because the bleeding stopped after withdrawal of treatment, we believe that rivaroxaban induced the thoracic bleeding. CONCLUSION: Some reports in the field of orthopedics (Turpie et al., 2009) have noted that rivarxaban is effective to prevent postoperative DVT. However, there were few reports that invied the attention to postoperative bleeding be induced by rivarxaban. Thus, we describe this case in order to alert clinicians to the potential bleeding risks associated with the admistration of rivaroxaban postoperatively. Elsevier 2017-11-11 /pmc/articles/PMC5686460/ /pubmed/29145107 http://dx.doi.org/10.1016/j.ijscr.2017.11.015 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Kuwata, Taiji
Kanayama, Masatoshi
Hirai, Ayako
Shinohara, Shuichi
Takenaka, Masaru
Oka, Soichi
Chikaishi, Yasuhiro
Imanishi, Naoko
Kuroda, Koji
Tanaka, Fumihiro
Postoperative thoracic hemorrhage after right upper lobectomy with thoracic wall resection during rivaroxaban anticoagulant therapy for deep leg vein thrombosis: A case report
title Postoperative thoracic hemorrhage after right upper lobectomy with thoracic wall resection during rivaroxaban anticoagulant therapy for deep leg vein thrombosis: A case report
title_full Postoperative thoracic hemorrhage after right upper lobectomy with thoracic wall resection during rivaroxaban anticoagulant therapy for deep leg vein thrombosis: A case report
title_fullStr Postoperative thoracic hemorrhage after right upper lobectomy with thoracic wall resection during rivaroxaban anticoagulant therapy for deep leg vein thrombosis: A case report
title_full_unstemmed Postoperative thoracic hemorrhage after right upper lobectomy with thoracic wall resection during rivaroxaban anticoagulant therapy for deep leg vein thrombosis: A case report
title_short Postoperative thoracic hemorrhage after right upper lobectomy with thoracic wall resection during rivaroxaban anticoagulant therapy for deep leg vein thrombosis: A case report
title_sort postoperative thoracic hemorrhage after right upper lobectomy with thoracic wall resection during rivaroxaban anticoagulant therapy for deep leg vein thrombosis: a case report
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5686460/
https://www.ncbi.nlm.nih.gov/pubmed/29145107
http://dx.doi.org/10.1016/j.ijscr.2017.11.015
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