Korean J Crit Care Med.  2009 Apr;24(1):37-38. 10.4266/kjccm.2009.24.1.37.

Hemothorax in an Uncontrolled Anticoagulated Patient: Fight or Flight?: A Case Report

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Hanyang University Guri Hospital, Guri, Korea. cblee@hanyang.ac.kr

Abstract

Hemothorax in a patient on anticoagulant therapy for atrial fibrillation after blunt trauma is not an uncommon event. However, massive hemothorax in such a patient with an extremely uncontrolled and high international normalized ratio (INR) may pose a serious dilemma. We report a case of a patient under anticoagulant therapy for atrial fibrillation who underwent an emergent thoracotomy for massive hemothorax with an INR of 9.57.

Keyword

anticoagulation; emergency thoracotomy; hemothorax

MeSH Terms

Atrial Fibrillation
Hemothorax
Humans
International Normalized Ratio
Thoracotomy
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