We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
A case of abdominal aortic aneurysm presenting as symptomatic disseminated intravascular coagulation treated with endovascular aneurysm repair and postoperative administration of Nafamostat mesylate.
- Authors
Tanaka, Shinichi; Ohmine, Takahiro
- Abstract
Background: Cases of abdominal aortic aneurysm discovered as purpura on the extremities with disseminated intravascular coagulation (DIC) are rare. The number of currently established strategies for the control of DIC with aortic aneurysm is limited. Case presentation: An 85-year-old woman was referred to the hematology department because of purpura on her shoulder and thigh. Enhanced fibrinolytic-type DIC was diagnosed by a blood test. Enhanced computed tomography (CT) revealed 60-mm abdominal aortic and 42-mm right common iliac aneurysms. We performed endovascular aneurysm repair (EVAR) and coiling of the right internal iliac artery with postoperative administration of Nafamostat mesylate. The patient promptly recovered from DIC, and the purpura gradually disappeared. Conclusions: We safely performed EVAR with postoperative administration of Nafamostat mesylate for an abdominal aortic aneurysms that presented as symptomatic DIC.
- Subjects
ENDOVASCULAR aneurysm repair; ENDOVASCULAR surgery; ABDOMINAL aortic aneurysms; DISSEMINATED intravascular coagulation; AORTIC aneurysms; INTRACRANIAL aneurysms; AORTIC rupture; BLOOD vessel prosthesis
- Publication
Surgical Case Reports, 2024, Vol 10, Issue 1, p1
- ISSN
2198-7793
- Publication type
Case Study
- DOI
10.1186/s40792-024-01926-6