Open AccessThoracic Aortic Dissecting Aneurysm Presenting with Stroke, Disseminated Intravascular Coagulopathy (DIC), and Gastrointestinal Hemorrhage
Author(s) -
Soraya Moghadam,
Yoshitsugu Nakamura,
Mackenzie Quantz,
Raymond Kao
Publication year - 1970
Publication title -
canadian journal of general internal medicine
Language(s) - English
Resource type - Journals
eISSN - 2369-1778
pISSN - 1911-1606
DOI - 10.22374/cjgim.v9i4.11
Subject(s) - medicine , consumptive coagulopathy , bleeding diathesis , coagulopathy , disseminated intravascular coagulation , aortic dissection , aneurysm , thoracic aortic aneurysm , stroke (engine) , upper gastrointestinal bleeding , aortic aneurysm , dissection (medical) , cardiology , radiology , surgery , aorta , endoscopy , mechanical engineering , platelet , engineering
Acute ischemic stroke secondary to vessel occlusion from an aneurismal dissection is an uncommon presentation. Disseminated intravascular coagulation (DIC) can present as a consequence of aortic dissection, although this is also rare. In some cases, the laboratory diagnosis of DIC uncovers a vascular abnormality or bleeding diathesis. This article describes a patient presenting with three sequential complications of a dissecting thoracic aortic aneurysm: ischemic stroke, upper gastrointestinal bleeding, and consumptive coagulopathy.