Association between hypocalcemia and rivaroxaban in coagulation disorders: a case report
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , |
Tipo de documento: | Relatório |
Idioma: | eng |
Título da fonte: | Einstein (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082020000100504 |
Resumo: | ABSTRACT We describe a patient with tertiary hyperparathyroidism with history of three episodes of deep vein thrombosis and on rivaroxaban. The patient underwent a subtotal parathyroidectomy, developing cervical hematoma with airway compression. Therefore, emergency surgical decompression was necessary. Later, on the ninth postoperative day, the serum ionized calcium levels were low. Medical team knowledge about preexisting diseases and their implication in the coagulation state are essential conditions to reduce morbidity and mortality of surgeries. However, no reports were found in literature about the association of hypocalcemia with the use of the new class of anticoagulants, which act as factor X inhibitors (Stuart-Prower factor), predisposing to increased bleeding in the immediate postoperative period. |
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Association between hypocalcemia and rivaroxaban in coagulation disorders: a case reportRivaroxaban/adverse effectsBlood coagulationHematomaParathyroidectomyABSTRACT We describe a patient with tertiary hyperparathyroidism with history of three episodes of deep vein thrombosis and on rivaroxaban. The patient underwent a subtotal parathyroidectomy, developing cervical hematoma with airway compression. Therefore, emergency surgical decompression was necessary. Later, on the ninth postoperative day, the serum ionized calcium levels were low. Medical team knowledge about preexisting diseases and their implication in the coagulation state are essential conditions to reduce morbidity and mortality of surgeries. However, no reports were found in literature about the association of hypocalcemia with the use of the new class of anticoagulants, which act as factor X inhibitors (Stuart-Prower factor), predisposing to increased bleeding in the immediate postoperative period.Instituto Israelita de Ensino e Pesquisa Albert Einstein2020-01-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082020000100504einstein (São Paulo) v.18 2020reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.31744/einstein_journal/2020rc4819info:eu-repo/semantics/openAccessPos,Alexandre MioAleixo,Mateus ArrudaDrummond-Lage,Ana Paulaeng2020-01-23T00:00:00Zoai:scielo:S1679-45082020000100504Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2020-01-23T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false |
dc.title.none.fl_str_mv |
Association between hypocalcemia and rivaroxaban in coagulation disorders: a case report |
title |
Association between hypocalcemia and rivaroxaban in coagulation disorders: a case report |
spellingShingle |
Association between hypocalcemia and rivaroxaban in coagulation disorders: a case report Pos,Alexandre Mio Rivaroxaban/adverse effects Blood coagulation Hematoma Parathyroidectomy |
title_short |
Association between hypocalcemia and rivaroxaban in coagulation disorders: a case report |
title_full |
Association between hypocalcemia and rivaroxaban in coagulation disorders: a case report |
title_fullStr |
Association between hypocalcemia and rivaroxaban in coagulation disorders: a case report |
title_full_unstemmed |
Association between hypocalcemia and rivaroxaban in coagulation disorders: a case report |
title_sort |
Association between hypocalcemia and rivaroxaban in coagulation disorders: a case report |
author |
Pos,Alexandre Mio |
author_facet |
Pos,Alexandre Mio Aleixo,Mateus Arruda Drummond-Lage,Ana Paula |
author_role |
author |
author2 |
Aleixo,Mateus Arruda Drummond-Lage,Ana Paula |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Pos,Alexandre Mio Aleixo,Mateus Arruda Drummond-Lage,Ana Paula |
dc.subject.por.fl_str_mv |
Rivaroxaban/adverse effects Blood coagulation Hematoma Parathyroidectomy |
topic |
Rivaroxaban/adverse effects Blood coagulation Hematoma Parathyroidectomy |
description |
ABSTRACT We describe a patient with tertiary hyperparathyroidism with history of three episodes of deep vein thrombosis and on rivaroxaban. The patient underwent a subtotal parathyroidectomy, developing cervical hematoma with airway compression. Therefore, emergency surgical decompression was necessary. Later, on the ninth postoperative day, the serum ionized calcium levels were low. Medical team knowledge about preexisting diseases and their implication in the coagulation state are essential conditions to reduce morbidity and mortality of surgeries. However, no reports were found in literature about the association of hypocalcemia with the use of the new class of anticoagulants, which act as factor X inhibitors (Stuart-Prower factor), predisposing to increased bleeding in the immediate postoperative period. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082020000100504 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082020000100504 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.31744/einstein_journal/2020rc4819 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
dc.source.none.fl_str_mv |
einstein (São Paulo) v.18 2020 reponame:Einstein (São Paulo) instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE |
instname_str |
Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
instacron_str |
IIEPAE |
institution |
IIEPAE |
reponame_str |
Einstein (São Paulo) |
collection |
Einstein (São Paulo) |
repository.name.fl_str_mv |
Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
repository.mail.fl_str_mv |
||revista@einstein.br |
_version_ |
1752129910472704000 |