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Abdominal aortic aneurysm complicated with chronic disseminated intravascular coagulopathy: a case of surgical treatment.

Abstract：

:This article reports a case of an infrarenal abdominal aortic aneurysm complicated with chronic disseminated intravascular coagulopathy (DIC). The patient was a 68-year-old man; bleeding of 20 months' duration was reported. Physical examination indicated a pulsating mass in the abdomen. The diagnosis of DIC was made on the basis of standard coagulation studies. Indium 111-labeled platelet scintigraphy demonstrated an increased accumulation of radioactivity over the aneurysm. After preoperative control of the bleeding tendency was obtained by continuous intravenous infusion of gabexate mesilate (FOY), the aneurysm was successfully replaced with a prosthetic graft. Gabexate mesilate therapy is useful for DIC as is heparin therapy. If surgical intervention is required for an abdominal aortic aneurysm with concomitant DIC, preoperative control of bleeding with gabexate mesilate or heparin is recommended to lessen operative bleeding.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

Mukaiyama H,Shionoya S,Ikezawa T,Kamiya T,Hamaguchi M,Saito H

doi

10.1067/mva.1987.avs0060600

subject

Has Abstract

pub_date

1987-12-01 00:00:00

pages

600-4

issue

6

eissn

0741-5214

issn

1097-6809

pii

0741-5214(87)90278-3

journal_volume

6

pub_type

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