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Updated: Dec 6, 2025

Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
Thoracic endovascular repair for disseminated intravascular coagulation associated with chronic type B aortic
Jumpei Yamamoto1, Arudo Hiraoka1, Hidenori Yoshitaka1
1Department of Cardiovascular Surgery, The 274892Sakakibara Heart Institute of Okayama, Japan.
Objectives:
Chronic disseminated intravascular coagulation is a rare complication of aortic dissection, and its optimal treatment remains controversial.
Methods:
We present a 78-year-old man with repeated hemorrhagic events by disseminated intravascular coagulation due to chronic aortic dissection treated by thoracic endovascular aortic repair.
Results:
Computed tomography angiography at three months revealed a completely thrombosed false lumen from the distal aortic arch to the descending aorta at the celiac artery level. Platelets and D-dimer levels remained stable, and the patient was doing well without hemorrhagic complications.
Conclusions:
Endovascular repair was effective for disseminated intravascular coagulation due to chronic type B aortic dissection.
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