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BMC Cardiovascular Disorders

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Open Access 01-12-2022 | Petechiae | Case report

Management of disseminated intravascular coagulation after thoracic endovascular aortic repair of type B aortic dissection: a case report

Authors: Hanbo Liu, Yi Liu, Jifu Lai

Published in: BMC Cardiovascular Disorders | Issue 1/2022

Abstract

Background

Disseminated intravascular coagulation (DIC) is a critical and rare complication after thoracic endovascular aortic repair (TEVAR) of type B aortic dissection. The optimal treatment of aortic dissection-related DIC remains controversial.

Case presentation

We herein describe the successful management of a 65-year-old man who presented with gingival bleeding and multiple subcutaneous petechiae and was proven to have DIC after TEVAR of aortic dissection. The patient had initially been discharged with improved laboratory tests after anticoagulation treatment followed by oral rivaroxaban for maintenance. However, he was readmitted with recurrent gingival bleeding 17 days later. The DIC was successfully controlled with a combination of anticoagulation and antifibrinolytics. After the patient was discharged, his treatment was switched to oral tranexamic acid and warfarin for maintenance. During a 15-month follow-up, the patient had no recurrence of hemorrhage symptoms and maintained stable coagulative and fibrinolytic parameters.

Conclusions

Aortic dissection-related DIC requires long-term management under conservative treatment. The combination of warfarin and tranexamic acid may be a feasible method for long-term maintenance therapy.

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Title: Management of disseminated intravascular coagulation after thoracic endovascular aortic repair of type B aortic dissection: a case report
Authors: Hanbo Liu
Yi Liu
Jifu Lai
Publication date: 01-12-2022
Publisher: BioMed Central
Keywords: Petechiae
Disseminated Intravascular Coagulation
Tranexamic Acid
Warfarin
CT Angiography
Thrombosis
Rivaroxaban
Aortic Dissection
Published in: BMC Cardiovascular Disorders / Issue 1/2022
Electronic ISSN: 1471-2261
DOI: https://doi.org/10.1186/s12872-022-02768-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Management of disseminated intravascular coagulation after thoracic endovascular aortic repair of type B aortic dissection: a case report

Abstract

Background

Case presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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