Successful Management of Prolonged Thrombocytopenia After Surgery for Abdominal Aortic Aneurysm With Disseminated Intravascular Coagulation

Abstract

We report a case of an infrarenal abdominal aortic aneurysm that developed acute onset thrombocytopenia and disseminated intravascular coagulation (DIC) after a previous coronary artery bypass grafting. Open surgical intervention was successfully performed for the treatment of aortic aneurysm; however, thrombocytopenia and enhanced-fibrinolytic-type DIC were prolonged even after the surgery, and improved after Helicobacter pylori eradication therapy and medication with warfarin and oral tranexamic acid. Surgical intervention alone was not effective as a treatment for DIC associated with aortic aneurysm, and multidisciplinary management was necessary for the optimization of the coagulation and fibrinolytic systems, even after successful surgery.

Thrombocytopenia Following Abdominal Aortic Aneurysm (AAA) Surgery: A Case Report

“…Despite successful AAA surgery, the patient's thrombocytopenia and DIC persisted, requiring multidisciplinary management. The condition improved after Helicobacter pylori eradication therapy, warfarin, and oral tranexamic acid [6].…”