title: Preoperative hepatic insufficiency and type III endoleak: a confirmed potential fatal association following endovascular treatment.
abstract: 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.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery and Angiology, Dupuytren University Hospital, Ave Martin Luther King, 87042 Limoges, France.
authors.forename: Francis
authors.initials: F
authors.lastname: Pesteil
authors.forename: Louis
authors.initials: L
authors.lastname: Labrousse
authors.forename: Caroline
authors.initials: C
authors.lastname: Chevreuil
authors.forename: Marc
authors.initials: M
authors.lastname: Laskar
mesh_terms: 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