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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.
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https://hal-unilim.archives-ouvertes.fr/hal-00785242
Contributeur : Françoise Merigaud <>
Soumis le : mardi 5 février 2013 - 16:58:57
Dernière modification le : lundi 22 janvier 2018 - 11:12:38

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Francis Pesteil, Louis Labrousse, Caroline Chevreuil, Marc Laskar. Preoperative hepatic insufficiency and type III endoleak: a confirmed potential fatal association following endovascular treatment.. Interactive Cardiovascular and Thoracic Surgery, Oxford University Press (OUP), 2008, 7 (2), pp.285-7. ⟨10.1510/icvts.2007.165134⟩. ⟨hal-00785242⟩

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