Abstract

BEDOYA-JOAQUI, Vanessa; OSORIO-TORO, Luis M.; CASANOVA-VALDERRAMA, María  and  OCAMPO-CHAPARRO, José M.. Abdominal aortic aneurysm associated with chronic disseminated intravascular coagulation: a rare complication. Rev. Colomb. Cardiol. [online]. 2021, vol.28, n.4, pp.374-377.  Epub Oct 18, 2021. ISSN 0120-5633.  https://doi.org/10.24875/rccar.m21000068.

Disseminated intravascular coagulation is a systemic process characterized by the widespread activation of coagulation with the potential for causing vascular thrombosis, hemorrhage and organ failure. Rarely, vascular anomalies like abdominal aortic aneurysm can trigger chronic disseminated intravascular coagulation. Large aortic aneurysms, dissection and expansion are risk factors. In these cases, subclinical symptoms predominate and coagulopathy is only identified by laboratory tests. Nowadays there is limited evidence based on experience from case series of chronic disseminated intravascular coagulation as complication in patients with abdominal aortic aneurysm. Furthermore, duration and therapeutic response with heparin therapy are not well known, mainly in those patients with conservative management. It is considered a diagnostic and therapeutic challenge due to the low presentation frequency. The clinical characteristics, laboratory and treatment of a patient with abdominal aortic aneurysm associated with chronic disseminated intravascular coagulation are described below.

Keywords : Disseminated intravascular coagulation; Abdominal aortic aneurysm; Blood coagulation.

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