Warfarin-associated thoracic aortic dissection in an elderly woman
| Autor: | M G Impallomeni, D M Blunt |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Aging
medicine.medical_specialty Chest Pain Chest pain Thoracic aortic aneurysm Aortic aneurysm Aneurysm Atrial Fibrillation medicine Humans cardiovascular diseases Aorta Aged Aged 80 and over Aortic Aneurysm Thoracic business.industry Smoking Warfarin Anticoagulants General Medicine medicine.disease Abdominal aortic aneurysm Surgery Discontinuation Aortic Dissection Female Geriatrics and Gerontology medicine.symptom Complication business Tomography X-Ray Computed medicine.drug Follow-Up Studies |
| Zdroj: | Age and ageing. 33(2) |
| ISSN: | 0002-0729 |
| Popis: | Background The risk/benefit ratio of warfarin therapy changes in the over 75s, when haemorrhagic side-effects become more common. These may not always be reported in the literature. Case report A woman of 80 years, on long-term warfarin therapy presented with an acute dissecting thoracic aortic aneurysm; on investigation the only precipitating factor found was an international normalised ratio of 4.8. This patient, who also had an abdominal aortic aneurysm, survived, on discontinuation of her anticoagulant therapy. Conclusions We describe a previously unreported complication of warfarin therapy in a patient over 75 years of age, to add to the cautions in prescribing this drug in patients of this age group. |
| Databáze: | OpenAIRE |
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