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[Effective thromboexclusion for repeating bleeding tendency caused by dissecting aneurysm: a case report]
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|November 1, 1989
Summary
A dissecting aneurysm caused a bleeding tendency in a patient, which was successfully treated with thromboexclusion and transfusions. The procedure achieved good thrombus formation, despite the patient
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Hematology
Background:
- Dissecting aneurysms can lead to complex bleeding complications.
- Disseminated intravascular coagulation (DIC) is a potential complication of vascular emergencies.
Observation:
- A 75-year-old woman presented with fatigue, chest pain, and recurrent bleeding episodes.
- Laboratory data revealed decreased platelets and fibrinogen, with increased FDP, coinciding with bleeding.
- A large hematoma formed at the angiography puncture site.
Findings:
- The patient's bleeding tendency was attributed to a localized DIC secondary to the dissecting aneurysm.
- Thromboexclusion surgery was performed, followed by platelet and fibrinogen transfusions.
- Post-procedure, laboratory values normalized, and the bleeding tendency resolved.
Implications:
- Thromboexclusion can be an effective treatment for bleeding complications associated with dissecting aneurysms.
- Management of coagulopathy in such cases requires prompt intervention.
- Further research into localized DIC mechanisms in aortic dissections is warranted.