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Management of Chronic Disseminated Intravascular Coagulation Associated with Aortic Aneurysm/Dissection

Shigeru Koba1, Tomoya Yamaguchi1, Kenji Miki1

  • 1Department of Internal Medicine, Uji-Tokushukai Medical Center, Uji 611-0041, Japan.

Case Reports in Hematology
|May 9, 2019
PubMed

Insights

Chronic disseminated intravascular coagulation (DIC) in elderly patients may indicate aortic aneurysm or dissection. Early diagnosis and appropriate nonsurgical treatment are crucial for managing this complex condition.

Area of Science:

  • Internal Medicine
  • Vascular Surgery
  • Hematology

Background:

  • Disseminated intravascular coagulation (DIC) is a severe condition with both clotting and bleeding risks.
  • Chronic DIC has been linked to aortic aneurysm and dissection, particularly in older individuals.

Observation:

  • This report details four elderly patients with chronic DIC associated with aortic aneurysm/dissection.
  • The study highlights the clinical features and treatment of these complex cases.

Findings:

  • Aortic aneurysm/dissection should be considered in elderly patients presenting with unexplained bleeding tendencies and DIC.
  • Nonsurgical management strategies were explored for these patients.

Implications:

  • Recognizing the association between chronic DIC and aortic pathology is vital for accurate diagnosis in elderly patients.
  • Tailored nonsurgical treatment approaches are recommended for managing chronic DIC in the context of aortic aneurysm/dissection.

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