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Aortic aneurysm-induced disseminated intravascular coagulation
1Section of Hematology/Oncology, Virginia Mason Medical Center, Seattle, WA 98111, USA.
Annals of Vascular Surgery
|July 1, 1996
Summary
Disseminated intravascular coagulation (DIC) is rarely linked to abdominal aortic aneurysms but can cause bleeding or clotting. Surgical repair of the aneurysm resolved DIC in both reported cases.
Area of Science:
- Vascular Surgery
- Hematology
- Coagulation Disorders
Background:
- Disseminated intravascular coagulation (DIC) presents with bleeding and thrombotic risks.
- DIC is an uncommon complication of stable abdominal aortic aneurysms (AAAs).
Observation:
- A retrospective review identified two cases of DIC associated with AAAs over five years.
- One patient experienced bleeding diathesis, while the other had thrombophlebitis.
Findings:
- Both patients presented with consumptive coagulopathy.
- Surgical intervention for the abdominal aortic aneurysms led to the resolution of coagulopathy in both instances.
Implications:
- This suggests surgical repair is a key management strategy for DIC-associated AAAs.
- Further research into the pathogenesis and diagnosis of aneurysm-associated DIC is warranted.