Journal Basic Info

  • Impact Factor: 1.995**
  • H-Index: 8
  • ISSN: 2474-1647
  • DOI: 10.25107/2474-1647
**Impact Factor calculated based on Google Scholar Citations. Please contact us for any more details.

Major Scope

  •  Gastroenterological Surgery
  •  Transplant Surgery
  •  Breast Surgery
  •  General Surgery
  •  Pediatric Surgery
  •  Otolaryngology - Head and Neck Surgery
  •  Minimally Invasive Surgery
  •  Orthopaedic Surgery


Citation: Clin Surg. 2018;3(1):2177.Case Report | Open Access

Aortic Dissection and Direct Factor Xa Inhibitors: Uncharted Waters

Igo B Ribeiro, Sean Dickie, Donna Nicholson, Pietro Di Santo and Marc Ruel

Department of Cardiac Surgery, University of Ottawa Heart Institute, Canada
Department of Cardiac Anesthesia, University of Ottawa Heart Institute, Canada
Department of Cardiology, University of Ottawa Heart Institute, Canada

*Correspondance to: Marc Ruel 

 PDF  Full Text DOI: 10.25107/2474-1647.2177


Acute type A aortic dissection is a surgical emergency due to the high mortality in medically treated patients mainly in the first 48 hrs of presentation. The use of factor Xa inhibitors in patients presenting with acute aortic dissection is a challenging situation. Surgical delay has been proposed to mitigate extensive surgical bleeding. We present a case of a patient on Rivaroxaban who could not tolerate delayed surgery and developed massive bleeding despite the use of thromboelastography and specific anti-Xa essay to guide optimal surgical time.


Aortic dissection; DOAC; Factor Xa Inhibitors

Cite the article

Ribeiro IB, Dickie S, Nicholson D, Di Santo P, Ruel M. Aortic Dissection and Direct Factor Xa Inhibitors: Uncharted Waters. Clin Surg. 2018; 3: 2177.

Search Our Journal

Journal Indexed In

Articles in PubMed

Voice Outcomes in Laryngotracheal Stenosis: Impact of the Montgomery T-tube
 PubMed  PMC  PDF  Full Text
RAF Kinase Inhibitory Protein Expression and Phosphorylation Profiles in Oral Cancers
 PubMed  PMC  PDF  Full Text
View More...

Articles with Grants

The Feasibility of Single-Port Laparoscopic Interval Appendectomy for Complicated Appendicitis: A Comparison Study with Multi-Port Laparoscopic Appendectomy in a Single Institution in Korea
 Abstract  PDF  Full Text
Recurrent and Refractory Ischemic Stroke Complicating Evans Syndrome
 Abstract  PDF  Full Text
View More...