A Case of Local Disseminated Intravascular Coagulation Caused by DeBakey IIIb Aortic Dissection and Bilateral Iliac Aneurysm.
10.4326/jjcvs.27.169
- VernacularTitle:消費性凝固障害を合併したＩＩＩｂ型大動脈解離と真性腸骨動脈りゅうの治療経験
- Author:
Kengo Nishimura
;
Masahiko Ikebuchi
;
Maromi Tachibana
;
Teruo Maeda
;
Shigetugu Ohgi
;
Tohru Mori
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1998;27(3):169-172
- CountryJapan
- Language:Japanese
-
Abstract:
A 73-year-old man complained of sudden severe back pain and was admitted to a community hospital on February 2, 1994. DeBakey IIIb aortic dissection was diagnosed and he was treated conservatively. He noted a pulsating mass in his abdomen on June 7, 1995 and was referred to our hospital. Because of a decrease in platelet and fibrinogen and increase in FDP, local disseminated intravascular coagulation was diagnosed. Since abdominal pain continued, impending rupture was suspected. Computed tomogram showed abdominal aortic dissection and multiple iliac aneurysms. As coagulopathy did not improved by medical treatment, we performed prosthetic graft replacement of the aortio-iliac system on September 4, 1995. Before operation, the effectiveness of heparin was confirmed. After the operation local disseminated intravascular coagulation improved without drug therapy.
