The coagulopathy associated with aortic aneurysms

The authors in this article record their experience with eight-four patients with abdominal aortic aneurysms. Twenty-seven patients (32%) presented with ruptured aneurysms with an overall mortality of 56%. Of the unruptured aneurysms, 67% were operable with a mortality of 5.3%. The highest mortality...

Full description

Saved in:
Bibliographic Details
Published in:Postgraduate medical journal 1977-11, Vol.53 (625), p.668-671
Main Authors: Gétaz, E. P., Louw, J. H.
Format: Article
Language:English
Subjects:
Adult
Aged
Aorta, Thoracic
Aortic Aneurysm - complications
Aortic Aneurysm - mortality
Aortic Rupture - complications
Aortic Rupture - mortality
Blood Cell Count
Blood Coagulation Disorders - complications
Blood Coagulation Disorders - mortality
Blood Platelets
Female
Humans
Male
Middle Aged
Thrombocytopenia - complications
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The authors in this article record their experience with eight-four patients with abdominal aortic aneurysms. Twenty-seven patients (32%) presented with ruptured aneurysms with an overall mortality of 56%. Of the unruptured aneurysms, 67% were operable with a mortality of 5.3%. The highest mortality amongst the patients with ruptured aneurysms was in the group who was shocked. In the group with ruptured aneurysms, of those in whom platelet counts were performed, 50% were abnormally low, and 56% had evidence of abnormal coagulation. Seventy per cent of those with coagulation abnormalities died. In the unruptured group 28.2% had thrombocytopenia but no other abnormalities of coagulation. All patients undergoint aneurysm resection should have a platelet count and a full clotting screen. Therapy should be directed to normalization of the coagulation system.
ISSN:0032-5473
1469-0756
DOI:10.1136/pgmj.53.625.668