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The Journal of Cardiovascular Surgery 2001 April;42(2):245-8

language: English

Consumption coagulopathy associated with aneurysms of the abdominal aorta and the bilateral femoral arteries. Report of a case

Utoh J., Kunitomo R., Hara M., Hagiwara S., Uemura S., Uemura E., Kitamura N.

From the ­First Depart­ment of Sur­gery, Kuma­moto Uni­ver­sity ­School of Med­i­cine, Kuma­moto, ­Japan


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The ­authors ­report a ­case of a 70-­year-old man, ­with ­repeating epi­sodes of ­systemic sub­dermal ­hematoma due to con­sump­tion coag­u­lop­athy asso­ciated ­with abdom­inal ­aortic aneu­rysm and the bilat­eral ­femoral arte­rial aneu­rysms. ­Prior to the ­first oper­a­tion for abdom­inal ­aortic ­repair, anti­co­ag­u­la­tion ­therapy was ­applied to ­treat throm­bo­cy­to­penia and hypo­fib­ri­nog­e­nemia. ­Five ­years fol­lowing the ­first sur­gery, the ­same treat­ment was ­required ­before resec­tion of the ­femoral ­lesions. Con­sump­tion coag­u­lop­athy is ­seen in approx­i­mately 1-4% pop­u­la­tion of ­aortic aneu­rysms, how­ever, ­repeated appear­ance of symp­to­matic coag­u­lop­athy is ­rarely ­reported. Anti­co­ag­u­la­tion ­therapy was effec­tive to nor­malize the coag­u­la­tion and fibrin­o­lytic ­system and fol­lowed by ­uneventful sur­gical resec­tion of the aneu­rysms.

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