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Interact Cardiovasc Thorac Surg · Aug 2012
Case ReportsSpontaneous ascending aortic intramural haematoma in a patient on dabigatran.
- Stefano Mastrobuoni, James A Robblee, and Munir Boodhwani.
- Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, ON, Canada. smastrobuoni@ottawaheart.ca
- Interact Cardiovasc Thorac Surg. 2012 Aug 1; 15 (2): 299-300.
AbstractA patient on oral anticoagulation with dabigatran presented with chest pain and dyspnoea. A CT scan of the chest revealed an intramural haematoma of the ascending aorta with a large pericardial effusion. The patient underwent a modified Bentall procedure. In the absence of a specific antidote for this novel oral anticoagulant medication, even in an emergency situation, successful surgical treatment was possible with an aggressive use of available prohaemostatic agents.
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