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Successful treatment of disseminated intravascular coagulation associated with aortic dissection
Disseminated intravascular coagulation (DIC) is an infrequent aortic dissection complication, and its optimal treatment remains controversial. A 55-year-old woman developed DIC associated with Stanford type B aortic dissection, which improved by administration of low-molecular-weight heparin combine...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282448/ https://www.ncbi.nlm.nih.gov/pubmed/30547143 http://dx.doi.org/10.1016/j.jvscit.2018.07.004 |
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author | Fujii, Masahiko Watanabe, Hiroyuki Otsu, Masayoshi Sugahara, Yuta |
author_facet | Fujii, Masahiko Watanabe, Hiroyuki Otsu, Masayoshi Sugahara, Yuta |
author_sort | Fujii, Masahiko |
collection | PubMed |
description | Disseminated intravascular coagulation (DIC) is an infrequent aortic dissection complication, and its optimal treatment remains controversial. A 55-year-old woman developed DIC associated with Stanford type B aortic dissection, which improved by administration of low-molecular-weight heparin combined with tranexamic acid, but the dissecting aneurysm of the descending aorta was dilated. After thoracic endovascular aortic repair for occlusion of entry tears detected by transesophageal echocardiography, DIC improved without anticoagulant therapy. Three months after treatment, the patient is doing well without complications. Endovascular repair is effective for DIC due to aortic dissection that requires anticoagulant therapy. |
format | Online Article Text |
id | pubmed-6282448 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-62824482018-12-13 Successful treatment of disseminated intravascular coagulation associated with aortic dissection Fujii, Masahiko Watanabe, Hiroyuki Otsu, Masayoshi Sugahara, Yuta J Vasc Surg Cases Innov Tech Aortic arch, descending thoracic, and thoracoabdominal aorta Disseminated intravascular coagulation (DIC) is an infrequent aortic dissection complication, and its optimal treatment remains controversial. A 55-year-old woman developed DIC associated with Stanford type B aortic dissection, which improved by administration of low-molecular-weight heparin combined with tranexamic acid, but the dissecting aneurysm of the descending aorta was dilated. After thoracic endovascular aortic repair for occlusion of entry tears detected by transesophageal echocardiography, DIC improved without anticoagulant therapy. Three months after treatment, the patient is doing well without complications. Endovascular repair is effective for DIC due to aortic dissection that requires anticoagulant therapy. Elsevier 2018-12-04 /pmc/articles/PMC6282448/ /pubmed/30547143 http://dx.doi.org/10.1016/j.jvscit.2018.07.004 Text en © 2018 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 | Aortic arch, descending thoracic, and thoracoabdominal aorta Fujii, Masahiko Watanabe, Hiroyuki Otsu, Masayoshi Sugahara, Yuta Successful treatment of disseminated intravascular coagulation associated with aortic dissection |
title | Successful treatment of disseminated intravascular coagulation associated with aortic dissection |
title_full | Successful treatment of disseminated intravascular coagulation associated with aortic dissection |
title_fullStr | Successful treatment of disseminated intravascular coagulation associated with aortic dissection |
title_full_unstemmed | Successful treatment of disseminated intravascular coagulation associated with aortic dissection |
title_short | Successful treatment of disseminated intravascular coagulation associated with aortic dissection |
title_sort | successful treatment of disseminated intravascular coagulation associated with aortic dissection |
topic | Aortic arch, descending thoracic, and thoracoabdominal aorta |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6282448/ https://www.ncbi.nlm.nih.gov/pubmed/30547143 http://dx.doi.org/10.1016/j.jvscit.2018.07.004 |
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