Successful treatment of disseminated intravascular coagulation associated with aortic dissection Masahiko Fujii, MD, Hiroyuki Watanabe, MD, Masayoshi.

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Presentation transcript:

Successful treatment of disseminated intravascular coagulation associated with aortic dissection Masahiko Fujii, MD, Hiroyuki Watanabe, MD, Masayoshi Otsu, PhD, Yuta Sugahara, MD Journal of Vascular Surgery Cases and Innovative Techniques Volume 4, Issue 4, Pages 268-271 (December 2018) DOI: 10.1016/j.jvscit.2018.07.004 Copyright © 2018 The Authors Terms and Conditions

Fig 1 Enhanced preoperative computed tomography (CT) of type B acute aortic dissection. A, Enhanced CT scan at onset shows a patent false lumen with partial thrombosis from the descending aorta to the thoracoabdominal aorta. B, Recanalization of the thrombosed false lumen and dilation of the descending aorta 6 months after onset. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 268-271DOI: (10.1016/j.jvscit.2018.07.004) Copyright © 2018 The Authors Terms and Conditions

Fig 2 Presurgical transesophageal echocardiography. Both images show stagnant vascular flow of false lumen. A, Vascular flow from true lumen to false lumen at T8 spinal level. B, Vascular flow from true lumen to false lumen at celiac artery level. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 268-271DOI: (10.1016/j.jvscit.2018.07.004) Copyright © 2018 The Authors Terms and Conditions

Fig 3 Postoperative computed tomography (CT) angiography at 3-month follow-up. A, Complete thrombosis is shown from the distal aortic arch to the descending aorta with no dilation of the dissecting aortic aneurysm. The patent false lumen is seen from the abdominal aorta to the proximal common iliac artery. B, Three-dimensional CT angiogram. Journal of Vascular Surgery Cases and Innovative Techniques 2018 4, 268-271DOI: (10.1016/j.jvscit.2018.07.004) Copyright © 2018 The Authors Terms and Conditions