Yamamoto Jumpei, Hiraoka Arudo, Yoshitaka Hidenori
Department of Cardiovascular Surgery, The 274892Sakakibara Heart Institute of Okayama, Japan.
Vascular. 2020 Dec;28(6):705-707. doi: 10.1177/1708538120934575. Epub 2020 Jun 17.
Chronic disseminated intravascular coagulation is a rare complication of aortic dissection, and its optimal treatment remains controversial.
We present a 78-year-old man with repeated hemorrhagic events by disseminated intravascular coagulation due to chronic aortic dissection treated by thoracic endovascular aortic repair.
Computed tomography angiography at three months revealed a completely thrombosed false lumen from the distal aortic arch to the descending aorta at the celiac artery level. Platelets and D-dimer levels remained stable, and the patient was doing well without hemorrhagic complications.
Endovascular repair was effective for disseminated intravascular coagulation due to chronic type B aortic dissection.
慢性弥散性血管内凝血是主动脉夹层的一种罕见并发症，其最佳治疗方法仍存在争议。
我们报告一名78岁男性，因慢性主动脉夹层导致弥散性血管内凝血反复发生出血事件，接受了胸主动脉腔内修复术治疗。
术后三个月的计算机断层扫描血管造影显示，从主动脉弓远端到腹腔动脉水平的降主动脉假腔完全血栓形成。血小板和D-二聚体水平保持稳定，患者情况良好，无出血并发症。
血管内修复术对慢性B型主动脉夹层所致的弥散性血管内凝血有效。
