False lumen embolization to treat disseminated intravascular coagulation after thoracic endovascular aortic repair of type B aortic dissection

Bernardo C. Mendes, Gustavo Oderich, Young Erben, Nanette R. Reed, Rajiv K. Pruthi

Research output: Contribution to journalArticle

7 Scopus citations

Abstract

Purpose: To present a rare case of disseminated intravascular coagulation (DIC) after thoracic endovascular aortic repair (TEVAR) and its novel treatment. Case Report: A 55-year-old man presented with DIC 10 months after TEVAR for chronic type B aortic dissection and descending thoracic aortic aneurysm. He had persistent retrograde flow in the false lumen with a stable aneurysm diameter. The false lumen was embolized with multiple Amplatzer plugs, which promoted false lumen thrombosis. Laboratory evaluation on postoperative day 7 demonstrated resolution of the coagulopathy. Follow-up at 18 months revealed no recurrent DIC; computed tomography angiography showed a stable aortic diameter and excluded thoracic aneurysm sac. Conclusion: This case demonstrates an unusual, potentially fatal postoperative complication of endovascular treatment of type B aortic dissections successfully treated with an innovative endovascular solution.

Original languageEnglish (US)
Pages (from-to)938-941
Number of pages4
JournalJournal of Endovascular Therapy
Volume22
Issue number6
DOIs
StatePublished - Jan 1 2015

Keywords

  • Disseminated intravascular coagulation
  • Embolization
  • False lumen
  • Thoracic endovascular aortic repair
  • Type B aortic dissection
  • Vascular plug

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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