PO66 | Viscoelastic tests (ROTEM) in disseminated intravascular coagulation associated with aortic aneurysm

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CORE FINDING: Enhanced-fibrinolytic DIC is marked by bleeding symptoms and reduced fibrinogen in aortic aneurysm cases.
EVIDENCE: Both cases presented low fibrinogen levels (<100 mg/dl), prolonged PT/aPTT, and elevated D-dimer, confirming enhanced-fibrinolytic DIC.
APPROACH: Viscoelastic tests (ROTEM) were used for diagnosis and monitoring treatment in two patients with severe bleeding.
SIGNIFICANCE: Understanding the interplay of coagulation and fibrinolysis aids in effective management of DIC associated with aortic aneurysms.

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Case reports show severe bleeding and fibrinolysis in patients with enhanced-fibrinolytic DIC, indicating a need for effective treatment strategies.

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Case reports show severe bleeding and fibrinolysis in patients with enhanced-fibrinolytic DIC, indicating a need for effective treatment strategies.