A 66-year-old (59.5-kg, 142-cm) woman, with progressive exertional angina and inferior wall ischemia during stress thallium perfusion scan, was admitted to the Hospital of the University of Pennsylvania for cardiac catheterization. Daily medications included nitrates and one children’s aspirin (80 mg). Cardiac catheterization showed severe obstructions in the right and left anterior descending (LAD) coronary arteries, and a lesion in the first diagonal branch of the LAD. Inferobasal hypokinesis and normal hemodynamics were evident. There was no history or physical signs of a preexisting hemorrhagic diathesis. Results of preoperative coagulation studies including platelet count, prothrombin time (PT), and activated partial thromboplastin time (aPTT) were normal.
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Details
Title
Case 4 - 1990. A 66-year-old woman who is taking aspirin continues to bleed after routine care
Creators
F W Campbell - Hospital of the University of Pennsylvania
G S Tyson - Hospital of the University of Pennsylvania
G P Gravlee - Wake Forest University
J C Horrow - Hahnemann University Hospital
K J Tuman - Rush University Medical Center
Publication Details
Journal of cardiothoracic anesthesia, v 4(4), pp 499-517
Number of pages
19
Resource Type
Journal article
Language
English
Academic Unit
Anesthesiology and Perioperative Medicine
Scopus ID
2-s2.0-0025373062
Other Identifier
991020785755404721
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