Perioperative hemostatic management of patients with type A aortic dissection.
Publisher DOI
PubMed ID
38054097
Abstract
Coagulopathy is common in patients undergoing thoracic aortic repair for Stanford type A aortic dissection. Non-critical administration of blood products may adversely affect the outcome. It is therefore important to be familiar with the pathologic conditions that lead to coagulopathy in complex cardiac surgery. Adequate care of these patients includes the collection of the medical history regarding the use of antithrombotic and anticoagulant drugs, and a sophisticated diagnosis of the coagulopathy with viscoelastic testing and subsequently adapted coagulation therapy with labile and stable blood products. In addition to the above-mentioned measures, intraoperative blood conservation measures as well as good interdisciplinary coordination and communication contribute to a successful hemostatic management strategy.
Date Issued
2023
Publication Type
Article
Subject(s)
Subjects
blood products cardiac surgery cardiopulmonary bypass coagulation monitoring coagulopathy transfusion type A aortic dissection viscoelastic testing
Language(s)
en
Author(s)
Ahmed, Aamer | |
Kurz, Stephan D | |
Gerber, Daniel | |
Bolliger, Daniel |
Additional Credits
Journal
Frontiers in cardiovascular medicine
Publisher
Frontiers
ISSN
2297-055X
Access(Rights)
open.access