Over-the-counter natural products in cardiac surgery: a case of ginseng-related massive perioperative bleeding.
作者信息
Viviano Alessandro, Steele Duncan, Edsell Mark, Jahangiri Marjan
机构信息
Department of Cardiothoracic Surgery, St George's University Hospital NHS Foundation Trust, London, UK.
Department of Cardiac Surgery, St George's Hospital, London, UK.
出版信息
BMJ Case Rep. 2017 Aug 7;2017:bcr-2016-218068. doi: 10.1136/bcr-2016-218068.
Abstract
We present a case of massive perioperative bleeding due to severe coagulopathy following urgent aortic and mitral valve replacement. Bleeding was persistent despite prolonged and meticulous surgical haemostasis and required high-volume blood products transfusions. No obvious cause was found to justify the severity of the coagulopathy, which was later attributed to high preoperative intake of ginseng.This case highlights the powerful activity of certain over-the-counter remedies on haemostasis, in this particular case on coagulation status. This also reminds us the paramount importance of a sound and comprehensive drug history for surgical patients.
摘要
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