Coagulopathy associated with residual dissection after surgical treatment of type A aortic dissection

Abstract

Our findings suggest that the coagulopathy worsened in proportion to the degree of dilatation of the dissected aorta.

Simple and Useful Tests for Discriminating Between Acute Aortic Dissection of the Ascending Aorta and Acute Myocardial Infarction in the Emergency Setting

“…Another previous report 27 supports our finding that the D-dimer concentration is influenced by the presence of a thrombosed false lumen, but there was not an excessive deterioration of sensitivity for AADa in cases with a thrombosed false lumen. Shinohara et al reported that the sensitivity of the soluble elastin fragment for aortic dissection with and without a thrombosed false lumen was 0% and 88.9%, respectively.…”

Chronic Aortic Dissection Complicated by Disseminated Intravascular Coagulation: Successful Treatment with Endovascular Stent-Grafting

“…4 The application of stent-grafts to treat aortic dissection was first described by Dake et al 6 They used the graft to exclude blood flow from the true to the false lumen. Since then, several clinical studies have shown successful stent-graft repair of acute or chronic aortic dissection.…”

“…In the chronic phase of type B dissection, when the aneurysmal false lumen has evolved, surgical intervention is mandatory to prevent rupture. Additionally, when aortic dissection is accompanied by disseminated intravascular coagulation (DIC), surgical intervention is often necessary, [1][2][3][4] but it is associated with high mortality and morbidity owing to excessive blood loss during surgery. 5 Recent reports have suggested endovascular stent-grafting for type B aortic dissection as a potential alternative to surgical repair.…”

Spontaneous iliopsoas muscle hematoma secondary to disseminated intravascular coagulation caused by nafamostat mesilate allergy: a case study

“…Because the abnormal coagulation continued even after DIC treatment, the patient was diagnosed with a hematoma. Nakajima et al indicated that the residual dissection after surgical treatment of Stanford type A aortic dissection will decrease coagulation, which is a risk for DIC development [14]. Although the coagulation test results were not examined before hospitalization, the platelet counts were ≤ 100,000/μL for 2 years.…”