Thoracic aorta pseudoaneurysm with hemopericardium: unusual presentation of warfarin overdose
Identifieur interne : 004A69 ( Main/Merge ); précédent : 004A68; suivant : 004A70Thoracic aorta pseudoaneurysm with hemopericardium: unusual presentation of warfarin overdose
Auteurs : Ya-Chih Tien [Taïwan] ; Ying-Cheng Chen [Taïwan] ; Chiung-Ying Liao [Taïwan] ; Chia-Chu Chang [Taïwan]Source :
- Journal of Occupational Medicine and Toxicology (London, England) [ 1745-6673 ] ; 2011.
Abstract
There have been few case reports which discuss a relationship between warfarin overdose and aortic pseudoaneurysm leakage. We report the case of a female receiving warfarin who presented with dsypnea. Her international normalized ratio was > 10. Chest radiograph revealed cardiomegaly, and chest computed tomography (CT) showed a bulging pouch-like lesion below the aortic arch greater than 6x6 cm in size and a fluid collection suggesting blood in the pericardium. Thoracic endovascular aneurysm repair (TEVAR) was successfully performed by a cardiovascular surgeon. Aortic pseudoaneurysm formation and leakage may be considered as a rare complication in patients receiving warfarin therapy. Further study regarding warfarin use and the incidence of pseudoaneurysm leakage is needed.
Url:
DOI: 10.1186/1745-6673-6-12
PubMed: 21521519
PubMed Central: 3114796
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<front><div type="abstract" xml:lang="en"><p>There have been few case reports which discuss a relationship between warfarin overdose and aortic pseudoaneurysm leakage. We report the case of a female receiving warfarin who presented with dsypnea. Her international normalized ratio was > 10. Chest radiograph revealed cardiomegaly, and chest computed tomography (CT) showed a bulging pouch-like lesion below the aortic arch greater than 6x6 cm in size and a fluid collection suggesting blood in the pericardium. Thoracic endovascular aneurysm repair (TEVAR) was successfully performed by a cardiovascular surgeon. Aortic pseudoaneurysm formation and leakage may be considered as a rare complication in patients receiving warfarin therapy. Further study regarding warfarin use and the incidence of pseudoaneurysm leakage is needed.</p>
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