Hemothorax in an Uncontrolled Anticoagulated Patient: Fight or Flight?: A Case Report.
10.4266/kjccm.2009.24.1.37
- Author:
Soon Ho CHON
1
;
Sung Ho SHINN
;
Chul Burm LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Hanyang University Guri Hospital, Guri, Korea. cblee@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
anticoagulation;
emergency thoracotomy;
hemothorax
- MeSH:
Atrial Fibrillation;
Hemothorax;
Humans;
International Normalized Ratio;
Thoracotomy
- From:The Korean Journal of Critical Care Medicine
2009;24(1):37-38
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hemothorax in a patient on anticoagulant therapy for atrial fibrillation after blunt trauma is not an uncommon event. However, massive hemothorax in such a patient with an extremely uncontrolled and high international normalized ratio (INR) may pose a serious dilemma. We report a case of a patient under anticoagulant therapy for atrial fibrillation who underwent an emergent thoracotomy for massive hemothorax with an INR of 9.57.
