Surgical treatment of abdominal aortic aneurysm complicated with chronic disseminated intravascular coagulopathy.

Three cases of disseminated intravascular coagulopathy (DIC) with abdominal aortic aneurysm are presented. All three cases underwent aneurysmectomy after heparin therapy. Two of them died after surgery, but hemorrhagic complications were not responsible for their deaths. One of the three cases tolerated the operation without excessive bleeding and was discharged from the hospital. If surgical therapy is required for abdominal aortic aneurysm with DIC, heparin therapy is recommended to lessen operative bleeding.