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Chronic Disseminated Intravascular Coagulopathy Cured by Abdominal Aortic Aneurysm Repair

Disseminated intravascular coagulopathy (DIC) may rarely be caused by a previously asymptomatic abdominal aortic aneurysm (AM). The authors describe a recent case where repair of the AM provided a complete cure for the patient's bleeding tendency. The multidisciplinary management of this patient is presented, and the evidence for the rare causal role of AM in DlC is discussed. Coagulation disorders in aneurysm patients are probably under-reported, and warrant careful perioperative assessment. © 2000 The International Society for Cardiovascular Surgery. Published by Elsevier Science Ltd. All rights reserved