False Lumen Embolization with the Candy Plug Technique for Consumptive Coagulopathy after Aortic Repair for Chronic Dissection
| Autor: | Hirohisa Murakami, Yoshikatsu Nomura, Shota Hasegawa |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty Percutaneous Elephant trunks medicine.medical_treatment lcsh:Surgery Case Report Dissection (medical) Disseminated intravascular coagulation 030204 cardiovascular system & hematology 03 medical and health sciences 0302 clinical medicine hemic and lymphatic diseases Consumptive Coagulopathy medicine 030212 general & internal medicine Embolization Aortic dissection business.industry lcsh:RD1-811 medicine.disease Thrombosis Chronic aortic dissection Surgery lcsh:RC666-701 Candy plug technique Cardiology and Cardiovascular Medicine business |
| Zdroj: | EJVES Short Reports, Vol 44, Iss, Pp 44-47 (2019) EJVES Short Reports |
| ISSN: | 2405-6553 |
| DOI: | 10.1016/j.ejvssr.2019.07.006 |
| Popis: | Introduction: Chronic aortic dissection rarely causes consumptive coagulopathy due to disseminated intravascular coagulation (DIC). Report: A 69 year old man who had previously undergone total arch replacement with the frozen elephant trunk procedure for chronic aortic dissection was transferred to our hospital because of sudden back pain. He had a bleeding from the right subscapular artery due to consumptive DIC caused by retrograde blood flow into a residual false lumen (FL). Percutaneous transcatheter embolisation was successfully performed, but DIC findings persisted. Thoracic endovascular aortic repair and FL embolisation with the candy plug technique were performed. Subsequently, DIC improved and FL thrombosis was safely accomplished. Discussion: In this case, FL thrombosis was safely accomplished with the candy plug technique. This strategy expands options in patients with high risk for open repair. Keywords: Candy plug technique, Chronic aortic dissection, Disseminated intravascular coagulation |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|