Coagulopathy Management of an Acute Type A Aortic Dissection in a Patient Taking Apixaban

Victor M. Neira, Abdullah Baghaffar, Nathan Doggett, Janny Xue Chen Ke, Keir Stewart

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

This paper reports the successful management of a patient with acute type A Penn B thoracic aortic dissection who was on apixaban therapy for atrial fibrillation. Emergency surgery was performed due to the patient's clinical deterioration, with innominate artery compromise and severe aortic valve regurgitation. The anesthesia team used point-of-care rotational thromboelastometry-guided coagulation replacement therapy consisting of prothrombin concentrate, fibrinogen, and platelets. The surgical team used a complementary approach with topical hemostatic agents and a pericardial patch. No additional blood products were required. The patient recovered fully and was discharged home.

Original languageEnglish
Pages (from-to)1720-1725
Number of pages6
JournalJournal of Cardiothoracic and Vascular Anesthesia
Volume36
Issue number6
DOIs
Publication statusPublished - Jun 2022

Bibliographical note

Funding Information:
None.

Publisher Copyright:
© 2021

ASJC Scopus Subject Areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

PubMed: MeSH publication types

  • Case Reports
  • Journal Article

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