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Publishing Language: Chinese

A Case Report of Disseminated Intravascular Coagulation After Thoracic Endovascular Aortic Repair

Jintao REN1,2Lanlin ZHANG3Tienan ZHU4Longxiang SU1Yingying YANG1Yan SHI1( )
Department of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
Department of Critical Care Medicine, People's Hospital of Qingbaijiang District, Chengdu 610300, China
Department of Cardiovascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
Department of Hematology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
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Abstract

This paper reports a case of disseminated intravascular coagulation(DIC) that occurred early after hybrid surgery for type B aortic dissection with an aortic arch aneurysm. Through analyzing the clinical manifestations, imaging findings, and treatment response of the patient, we propose that massive false-lumen thrombosis may serve as a critical trigger for early postoperative coagulation activation leading to DIC. Corresponding treatment strategies are suggested to enhance clinicians' ability to recognize and manage this critical condition.

CLC number: R543.1; R554+.8 Document code: B Article ID: 1674-9081(2026)01-0109-06

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Medical Journal of Peking Union Medical College Hospital
Pages 109-114

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Cite this article:
REN J, ZHANG L, ZHU T, et al. A Case Report of Disseminated Intravascular Coagulation After Thoracic Endovascular Aortic Repair. Medical Journal of Peking Union Medical College Hospital, 2026, 17(1): 109-114. https://doi.org/10.12290/xhyxzz.2024-0883

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Received: 06 November 2024
Accepted: 21 January 2025
Published: 20 October 2025
© 2026 Medical Journal of Peking Union Medical College Hospital