Abdominal Aortic Aneurysm Complicated with Chronic Consumption Coagulopathy.
10.4326/jjcvs.22.138
- VernacularTitle:長期にわたり消費性血液凝固障害を合併した腹部大動脈りゅうの１手術治験例
- Author:
Naoki YOSHIMURA
;
Masayoshi OKADA
;
Chojiro YAMASHITA
;
Toshiaki OTA
;
Keiji ATAKA
;
Keitaro NAKAGIRI
- Publication Type:Journal Article
- Keywords:
DIC
- From:Japanese Journal of Cardiovascular Surgery
1993;22(2):138-141
- CountryJapan
- Language:Japanese
-
Abstract:
We report an unusual case of a 71 year-old man who developed chronic consumption coagulopathy caused by an abdominal aortic aneurysm. He was diagnosed as having the dissecting aortic aneurysm (DeBakey type IIIa) and the abdominal aortic aneurysm in 1989, and had been attending to our hospital as an outpatient since then. He developed macrohematuria in March 1990. The laboratory data showed the decrease in platelet, fibrinogen, plasminogen and α2 plasmin inhibitor and the increase in FDP. The bleeding tendency was controlled by the administration of gabexate mesilate and heparin, but the laboratory data revealed that consumption coagulopathy continued. The abdominal aortic aneurysm was successfully replaced with a prosthetic vascular graft in June 1992. Postoperative hematological findings revealed the improvement, and he discharged 32nd day and doing well after operation.
