False Lumen Embolization to Treat Disseminated Intravascular Coagulation After Thoracic Endovascular Aortic Repair of Type B Aortic Dissection.

Abstract

PURPOSE:

To present a rare case of disseminated intravascular coagulation (DIC) after thoracic endovascular aortic repair (TEVAR) and its novel treatment.

CASE REPORT:

A 55-year-old man presented with DIC 10 months after TEVAR for chronic type B aortic dissection and descending thoracic aortic aneurysm. He had persistent retrograde flow in the false lumen with a stable aneurysm diameter. The false lumen was embolized with multiple Amplatzer plugs, which promoted false lumen thrombosis. Laboratory evaluation on postoperative day 7 demonstrated resolution of the coagulopathy. Follow-up at 18 months revealed no recurrent DIC; computed tomography angiography showed a stable aortic diameter and excluded thoracic aneurysm sac.

CONCLUSION:

This case demonstrates an unusual, potentially fatal postoperative complication of endovascular treatment of type B aortic dissections successfully treated with an innovative endovascular solution.

• Authors: Bernardo C Mendes, Gustavo S Oderich, Young Erben, Nanette R Reed, Rajiv K Pruthi
• Journal: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (J Endovasc Ther) Vol. 22 Issue 6 Pg. 938-41 (Dec 2015) ISSN: 1545-1550 [Electronic] United States
• PMID: 26384395 (Publication Type: Case Reports, Journal Article)
• Copyright: © The Author(s) 2015.

Topics

• Aortic Dissection (classification, surgery)
• Aortic Aneurysm, Thoracic (classification, surgery)
• Disseminated Intravascular Coagulation (therapy)
• Embolization, Therapeutic
• Endovascular Procedures
• Humans
• Male
• Middle Aged
• Postoperative Complications (therapy)