Key result
TEVAR resolves DIC in type B aortic dissection, allowing discontinuation of anticoagulant therapy.
Why the study?
Disseminated intravascular coagulation is an infrequent complication of aortic dissection and its optimal treatment remains controversial.
Does thoracic endovascular aortic repair improve disseminated intravascular coagulation associated with aortic dissection?
Case Report (n=1)
Does thoracic endovascular aortic repair improve disseminated intravascular coagulation associated with aortic dissection?
Thoracic endovascular aortic repair can effectively treat disseminated intravascular coagulation associated with aortic dissection, eliminating the need for ongoing anticoagulant therapy.
May support TEVAR for DIC in type B dissection; hypothesis-generating case report requiring prospective validation.
Disseminated intravascular coagulation (DIC) is an infrequent aortic dissection complication, and its optimal treatment remains controversial. A 55-year-old woman developed DIC associated with Stanford type B aortic dissection, which improved by administration of low-molecular-weight heparin combined with tranexamic acid, but the dissecting aneurysm of the descending aorta was dilated. After thoracic endovascular aortic repair for occlusion of entry tears detected by transesophageal echocardiography, DIC improved without anticoagulant therapy. Three months after treatment, the patient is doing well without complications. Endovascular repair is effective for DIC due to aortic dissection that requires anticoagulant therapy.
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Fujii et al. (2018) conducted a case report in Disseminated intravascular coagulation associated with Stanford type B aortic dissection (n=1). Thoracic endovascular aortic repair was evaluated on Improvement of DIC. Thoracic endovascular aortic repair successfully treated disseminated intravascular coagulation associated with Stanford type B aortic dissection, allowing discontinuation of anticoagulant therapy.
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