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Published on: February 26, 2013

Long-term management of chronic DIC associated with inoperable aortic aneurysm with low molecular weight heparin

Gautam Majumdar1

  • 1Haematology Department, Doncaster Royal Infirmary, Thorne Road, Doncaster, DN2 5LT, UK. gautam.majumdar@dbh.nhs.uk

The Hematology Journal : the Official Journal of the European Haematology Association
|September 28, 2004
PubMed

Insights

Chronic disseminated intravascular coagulation (DIC), a rare aortic aneurysm complication, can be managed with heparin for inoperable cases. This report details successful long-term dalteparin management for a patient with inoperable aortic aneurysm and chronic DIC.

Area of Science:

  • Cardiology
  • Hematology
  • Vascular Surgery

Background:

  • Chronic disseminated intravascular coagulation (DIC) is a rare complication associated with aortic aneurysms.
  • Surgical correction is the primary treatment for aortic aneurysms.
  • Heparin therapy is an alternative for patients with inoperable aneurysms or persistent DIC post-surgery.

Observation:

  • A patient presented with multiple, inoperable aortic aneurysms.
  • The patient also had chronic disseminated intravascular coagulation (DIC).

Findings:

  • The patient was successfully managed with dalteparin, a low-molecular-weight heparin, over an extended period.
  • This case highlights the efficacy of long-term anticoagulation in managing chronic DIC secondary to aortic aneurysms in challenging clinical scenarios.

Implications:

  • Long-term anticoagulation with agents like dalteparin can be a viable therapeutic option for chronic DIC in patients with inoperable aortic aneurysms.
  • This approach may help control coagulopathy and improve outcomes in select patient populations.
  • Further research into anticoagulation strategies for chronic DIC in vascular disease is warranted.

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