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Preoperative disseminated intravascular coagulation (DIC) associated with aortic aneurysm--does it need to be

J Oba1, N Shiiya, Y Matsui

  • 1Department of Cardiovascular Surgery, Hokkaido University School of Medicine, Sapporo, Japan.

Surgery Today
|January 1, 1995
PubMed

Insights

Disseminated intravascular coagulation (DIC) in aortic aneurysm patients often resolves post-surgery. Surgeons should proceed with aortic aneurysm repair even if DIC persists after two weeks of treatment.

Area of Science:

  • Vascular Surgery
  • Hematology

Background:

  • Disseminated intravascular coagulation (DIC) is a known complication of aortic aneurysms.
  • Preoperative management of DIC in these patients is critical.

Observation:

  • Four patients with aortic aneurysms and preoperative DIC were studied.
  • DIC resolved postoperatively in all four cases.
  • Preoperative DIC correction was unsuccessful in two patients.

Findings:

  • Surgery for aortic aneurysms can effectively resolve DIC, even if persistent preoperatively.
  • Intensive preoperative DIC treatment may not always be successful or necessary.
  • Delayed surgical intervention is warranted if DIC does not resolve within two weeks of treatment.

Implications:

  • Surgical intervention for aortic aneurysms should be prioritized, even with persistent DIC.
  • Reconsideration of aggressive preoperative DIC management is suggested.
  • Accurate diagnosis of DIC etiology, excluding other pathologies, is essential.

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