Spontaneous Intraoral Hemorrhage as Manifestation of Thoracoabdominal Aortic Aneurysm-Associated Disseminated Intravascular Coagulation: Case Report and Review

Imai, Tomoaki; Michizawa, Masahiro; Shimizu, Hidetaka; Yura, Yoshiaki; Doi, Yasuji

doi:10.1016/j.joms.2009.04.045

Cited by 8 publications

(14 citation statements)

References 32 publications

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“…Either method would result in endothelial denudement and exposure of tissue activating factors inciting the initiation of the coagulation cascade. DIC resulting from dental extraction has been reported as a herald of malignancy or large vessel aneurysm and, in at least one case, with no underlying pathology other than extraction, as an inciting trigger 10 11. Our patient whose previously diagnosed and treated cancer was closely monitored demonstrated no evidence of recurrence or de novo malignancy.…”

Section: Discussionmentioning

confidence: 51%

Acute disseminated intravascular coagulation following ICD lead extraction

2014

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We present an unusual case of disseminated intravascular coagulopathy (DIC) complicating percutaneous laser-assisted lead extraction. DIC has not been previously reported in association with lead extraction. It is possible to have occurred following the denudement of venous endothelium and exposure of underlying fibrous tissue. Practitioners need to be aware of this rare but potentially fatal complication of transvenous lead extraction.

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Section: Discussionmentioning

confidence: 51%

Acute disseminated intravascular coagulation following ICD lead extraction

2014

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“…To date, there have been 11 cases of bleeding from the extraction socket associated with chronic DIC in the English literature . The causative underlying diseases included AA (n=6), prostate carcinoma (n=4) and other causes (n=1).…”

Section: Discussionmentioning

confidence: 99%

“…Although most patients have no complications including post‐operative bleeding, patients with certain underlying conditions may develop persistent post‐operative bleeding, which is difficult to predict through pre‐operative ordinal serum examination. These conditions include coagulation factor deficiencies, fibrinolytic defects and platelet or vascular disorders …”

Section: Introductionmentioning

confidence: 99%

“…These conditions include coagulation factor deficiencies, fibrinolytic defects and platelet or vascular disorders. 1 The International Society on Thrombosis and Hemostasis defines disseminated intravascular coagulation (DIC) as "an acquired syndrome characterised by the intravascular activation of coagulation without a specific localisation and arising from different causes. It can originate from and cause damage to the microvasculature, which if sufficiently severe, can produce organ dysfunction".…”

Section: Introductionmentioning

confidence: 99%

“…As the treatment of DIC can vary, the cornerstone of treatment for DIC is treatment of the underlying condition 4. To date, there have been 11 cases of bleeding from the extraction socket associated with chronic DIC in the English literature 1. The causative underlying diseases included AA (n=6), prostate carcinoma (n=4) and other causes (n=1).…”

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confidence: 99%

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Acute exacerbation of chronic disseminated intravascular coagulation associated with thoracoabdominal aortic aneurysm after tooth extraction

et al. 2017

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Perioperative intervention by oral medicine team in cardiovascular surgery patients

Akashi

Nanba

Kusumoto

et al. 2018

Gen Thorac Cardiovasc Surg

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In brief, perioperative oral intervention consists of elimination of odontogenic foci and maintenance of oral hygiene in patients undergoing surgery. The importance of oral intervention before, during, and after medical treatments is well known, especially in cancer patients, because odontogenic foci such as untreated deep dental caries or periodontitis can cause systemic infection in patients with myelosuppression resulting from chemotherapy. Although perioperative oral intervention is currently recommended for patients with cardiovascular disease, its efficacy in this population has not been established. This article consists of three sections: first, we review the current knowledge about the association between dental disease and cardiovascular disease to show the importance of oral hygiene maintenance and the risks of invasive dental procedures in patients with cardiovascular disease; second, we introduce pertinent but limited evidence concerning the effect of oral care in preventing postoperative pneumonia; and finally, we present the optimal strategy for perioperative oral intervention in cardiovascular surgery patients.

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Spontaneous Intraoral Hemorrhage as Manifestation of Thoracoabdominal Aortic Aneurysm-Associated Disseminated Intravascular Coagulation: Case Report and Review

Cited by 8 publications

References 32 publications

Acute disseminated intravascular coagulation following ICD lead extraction

Acute disseminated intravascular coagulation following ICD lead extraction

Acute exacerbation of chronic disseminated intravascular coagulation associated with thoracoabdominal aortic aneurysm after tooth extraction

Perioperative intervention by oral medicine team in cardiovascular surgery patients

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