Journal article
False Lumen Embolization to Treat Disseminated Intravascular Coagulation After Thoracic Endovascular Aortic Repair of Type B Aortic Dissection
Journal of endovascular therapy, Vol.22(6), pp.938-941
12/01/2015
DOI: 10.1177/1526602815607185
PMID: 26384395
Abstract
To present a rare case of disseminated intravascular coagulation (DIC) after thoracic endovascular aortic repair (TEVAR) and its novel treatment.
A 55-year-old man presented with DIC 10 months after TEVAR for chronic type B aortic dissection and descending thoracic aortic aneurysm. He had persistent retrograde flow in the false lumen with a stable aneurysm diameter. The false lumen was embolized with multiple Amplatzer plugs, which promoted false lumen thrombosis. Laboratory evaluation on postoperative day 7 demonstrated resolution of the coagulopathy. Follow-up at 18 months revealed no recurrent DIC; computed tomography angiography showed a stable aortic diameter and excluded thoracic aneurysm sac.
This case demonstrates an unusual, potentially fatal postoperative complication of endovascular treatment of type B aortic dissections successfully treated with an innovative endovascular solution.
Details
- Title: Subtitle
- False Lumen Embolization to Treat Disseminated Intravascular Coagulation After Thoracic Endovascular Aortic Repair of Type B Aortic Dissection
- Creators
- Bernardo C Mendes - Mayo Clinic in ArizonaGustavo S Oderich - Mayo Clinic in ArizonaYoung Erben - Mayo Clinic in ArizonaNanette R Reed - Mayo Clinic in ArizonaRajiv K Pruthi - Mayo Clinic in Arizona
- Resource Type
- Journal article
- Publication Details
- Journal of endovascular therapy, Vol.22(6), pp.938-941
- DOI
- 10.1177/1526602815607185
- PMID
- 26384395
- ISSN
- 1526-6028
- eISSN
- 1545-1550
- Language
- English
- Date published
- 12/01/2015
- Academic Unit
- Surgery
- Record Identifier
- 9984701544402771
Metrics
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