Preoperative hepatic insufficiency and type III endoleak: a confirmed potential fatal association following endovascular treatment.
Consumptive coagulopathy is known to occur in patients with aneurysm, especially in the thoracic localization. Compared to open chest surgery, the endovascular treatment leaves in place a large thrombosed aneurysmal sac, which might induce and/or exacerbate the coagulopathy. Although exceptional, some recent reports have raised the potential disastrous issue related to this complication. We report the case of a 74-year-old patient treated for an asymptomatic thoracic aorta aneurysm by endoprosthesis who developed a fatal disseminated intravascular coagulopathy. This complication has been related to a type III endoleak associated with a preoperative hepatic insufficiency.
Pesteil
Francis
F
Department of Thoracic and Cardiovascular Surgery and Angiology, Dupuytren University Hospital, Ave Martin Luther King, 87042 Limoges, France.
Labrousse
Louis
L
Chevreuil
Caroline
C
Laskar
Marc
M
D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000097:blood / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D001777:Blood Coagulation; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D004211:Disseminated Intravascular Coagulation / Q000097:blood / Q000209:etiology*; D017809:Fatal Outcome; D006801:Humans; D008103:Liver Cirrhosis / Q000097:blood / Q000150:complications*; D008297:Male; D011475:Prosthesis Failure; D012307:Risk Factors; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome