Delayed disseminated intravascular coagulopathy post thoracic endovascular aortic repair (TEVAR)

J Card Surg. 2020 Dec;35(12):3610-3613. doi: 10.1111/jocs.15057. Epub 2020 Oct 8.

Abstract

Disseminated intravascular coagulopathy (DIC) is a very rare outcome post endovascular repair of aortic aneurysm dissections. We present a case of a 70-year-old male who presented with DIC post a thoracic endovascular aortic repair (TEVAR) procedure due to a type 1A endoleak. Initially, the patient was treated with red blood cells and blood products; however, when failing to improve, he underwent a hybrid arch replacement. In this study, we will analyze the management of DIC post TEVAR and look at its presentation more extensively, as it is currently a topic that is poorly studied.

Keywords: TEVAR; coagulopathy; disseminated intravascular coagulopathy; endoleak; transfusions.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aorta, Thoracic / diagnostic imaging
  • Aorta, Thoracic / surgery
  • Aortic Aneurysm, Thoracic* / surgery
  • Blood Vessel Prosthesis Implantation* / adverse effects
  • Endoleak
  • Endovascular Procedures*
  • Humans
  • Male
  • Retrospective Studies
  • Stents
  • Treatment Outcome