Dabigatran anticoagulation and Stanford type A aortic dissection: lethal coincidence: Case report with literature review.
Acta Anaesthesiol Scand
; 58(5): 630-7, 2014 May.
Article
en En
| MEDLINE
| ID: mdl-24601892
BACKGROUND: Novel oral anticoagulants are now encountered in patients needing emergency surgery. Knowledge and treatment options are limited. METHODS AND RESULT: We present the case of a 76-year-old patient who suffered from an acute Stanford type A aortic dissection, needing emergency surgical aortic repair. He was anticoagulated with dabigatran due to past atrial fibrillation. Despite haemodiafiltration, surgical revision and massive transfusion of packed red blood cells, fresh frozen plasma, platelets, coagulation factors, and recombinant factor VIIa, the patient died from intractable bleeding with sustained therapeutic levels of dabigatran. CONCLUSION: After reviewing the literature, we summarize the limited treatment options and show possible approaches for patients treated with dabigatran needing emergency surgery.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Piridinas
/
Choque Hemorrágico
/
Bencimidazoles
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Aneurisma de la Aorta Torácica
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Disección Aórtica
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Anticoagulantes
Tipo de estudio:
Etiology_studies
Idioma:
En
Revista:
Acta Anaesthesiol Scand
Año:
2014
Tipo del documento:
Article
País de afiliación:
Suiza