Spontaneous intracerebral haemorrhage: a rare complication of aortic aneurysm endoleak. (23rd June 2018)

• Record Type: Journal Article
• Authors: Kerr, Neal; Kerr, Jasmin; Faed, James M; Krysa, Jo
• Is Part Of: BMJ case reports. Volume 2018
• Publication Date: 2018-06-23
• Subjects: haematology (incl blood transfusion) -- stroke -- interventional radiology -- vascular surgery; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2018-225249
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We present a rare case of intracerebral haemorrhage secondary to consumptive coagulopathy in relation to ongoing endoleak after thoracic endovascular aneurysm repair (TEVAR). A 68-year-old man underwent elective TEVAR for an 18 cm diameter Crawford type II thoracoabdominal aneurysm. He was subsequently shown to have a type 1b endoleak and a short episode of disseminated intravascularcoagulation (DIC) perioperatively. Two months after the procedure, he experienced a consumptive coagulopathy leading to intracerebral haemorrhage and ultimately his death. Endoleak-related DIC is an underappreciated phenomenon within the medical literature. Currently, management is reliant on general DIC principles and anecdotal experiences of others within the case report literature.