Abstract
A patient with massive perioperative bleeding after repeat aortic surgery for proximal
aortic redissection, anastomotic disruption, and prosthetic infection after recent
surgery for acute type A aortic dissection was managed with, in total, 176 units of
blood products during a 25-hour operating room session. The postoperative course was
completely uneventful. Enduring and continuous hemostasis with mediastinal gauze packing,
volume replacement, and timely blood product substitution may overcome temporary coagulopathy
in desperate surgical circumstances.
Keywords
aorta/aortic - blood transfusion (includes blood typing) - blood - coagulation/anticoagulation
