Successful Treatment of Aneurysm-Associated Disseminated Intravascular Coagulation with Endovascular Aneurysm Repair (EVAR)
10.4326/jjcvs.42.447
- VernacularTitle:症候性 DIC に対し EVAR を施行した1例
- Author:
Yu Matsumura
;
Yuki Nakayama
;
Fumitaka Yamaki
- Publication Type:Journal Article
- Keywords:
abdominal aortic aneurysm (AAA);
disseminated intravascular coagulation (DIC);
endovascular aneurysm repair (EVAR)
- From:Japanese Journal of Cardiovascular Surgery
2013;42(5):447-451
- CountryJapan
- Language:Japanese
-
Abstract:
A 80-year-old woman was referred to our hospital for coagulation abnormality and huge abdominal aortic aneurysm (AAA). She had persistent hemorrhage from the surgical wound after the operation for her cubital tunnel syndrome 5 days before. Enhanced computed tomography image revealed AAA with a maximum diameter of 91 mm. Laboratory data were compatible with disseminated intravascular coagulation (DIC). Due to the marked hemorrhagic status, we thought the open repair of AAA was an extremely risky procedure. We initiated the medical treatment with gabexate mesilate. However, the hemorrhage continued after 2 weeks of medical therapy. We performed endovascular aneurysm repair (EVAR). DIC improved after the procedure. Postoperative enhanced computed tomography image showed regression of the aneurysm with no endoleak. EVAR might be an acceptable procedure for AAA with DIC.
