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[A successfully treated case of thoracoabdominal aortic aneurysm complicated with the coagulation disorder].

Abstract
We could performed the safe operation for thoracoabdominal aortic aneurysm complicated with pre-DIC. A diagnosis of pre-DIC was made by laboratory data. Low heparin pretreatment was performed for the short term because we presumed the cause for pre-DIC was thromboses in aneurysm. That treatment was effective for the temporal remission of pre-DIC. In addition, during partial ECC low heparin (1 mg/kg) and nafamostat mesilate (2 mg/kg/h) were used. As a result, during and after the operation blood loss was a little. In summary heparin pretreatment is useful therapy for DIC and pre-DIC in aortic aneurysm patients.
AuthorsT Ohsawa, M Tsubota, M Endo, K Kobayashi, H Sato, M Seki
JournalKyobu geka. The Japanese journal of thoracic surgery (Kyobu Geka) Vol. 48 Issue 9 Pg. 776-80 (Aug 1995) ISSN: 0021-5252 [Print] Japan
PMID7564042 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Anticoagulants
  • Antithrombins
  • Benzamidines
  • Guanidines
  • Heparin
  • nafamostat
Topics
  • Aged
  • Anticoagulants (administration & dosage)
  • Antithrombins (administration & dosage)
  • Aortic Aneurysm, Abdominal (complications, surgery)
  • Aortic Aneurysm, Thoracic (complications, surgery)
  • Benzamidines
  • Blood Vessel Prosthesis
  • Disseminated Intravascular Coagulation (etiology, prevention & control)
  • Female
  • Guanidines (administration & dosage)
  • Heparin (administration & dosage)
  • Humans
  • Premedication

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