A Case Report of Disseminated Intravascular Coagulation After Thoracic Endovascular Aortic Repair

Jintao REN; Lanlin ZHANG; Tienan ZHU; Longxiang SU; Yingying YANG; Yan SHI

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A Case Report of Disseminated Intravascular Coagulation After Thoracic Endovascular Aortic Repair

VernacularTitle:杂交手术治疗B型主动脉夹层术后弥散性血管内凝血1例
Author: Jintao REN ¹ ; Lanlin ZHANG ² ; Tienan ZHU ³ ; Longxiang SU ⁴ ; Yingying YANG ⁴ ; Yan SHI ⁴
Author Information

1. Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;Department of Critical Care Medicine, People's Hospital of Qingbaijiang District, Chengdu 610300, China;
2. Department of Cardiovascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
3. Department of Hematology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
4. Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China;
Publication Type:Journal Article
Keywords: endovascular aneurysm repair; disseminated intravascular coagulation; hybrid surgery; International Society of Thrombosis and Haemostasis
From: Medical Journal of Peking Union Medical College Hospital 2025;17(1):109-114
CountryChina
Language:Chinese
Abstract:
This paper reports a case of disseminated intravascular coagulation(DIC) that occurred early after hybrid surgery for type B aortic dissection with an aortic arch aneurysm. Through analyzing the clinical manifestations, imaging findings, and treatment response of the patient, we propose that massive false-lumen thrombosis may serve as a critical trigger for early postoperative coagulation activation leading to DIC. Corresponding treatment strategies are suggested to enhance clinicians' ability to recognize and manage this critical condition.