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30 March 2025 : Case report  Germany

Andexanet Alfa in Urgent Cardiac Surgery: A Case Report of Edoxaban Reversal for Acute Hemopericardium

Unusual clinical course, Management of emergency care

Mohammad Al Mawed ABDEF 1*, Helmut Warkentin ABCDEF 2, Johannes P. Brockmeier ABDE 1, René Schramm BE 3, Jan Gummert BCDF 3, Vera von Dossow ABCD 2, Stephan Gielen ABCDE 1

DOI: 10.12659/AJCR.945265

Am J Case Rep 2025; 26:e945265

Table 1. Perioperative laboratory assessment.

InvestigationsResult 23.07.2021Reference
Anti-factor Xa activity>1.5 IU/mlTherapeutic field 0.5–0.8 IU/ml
Hemoglobin15.5 g/dl12–16 g/dl
Platelets195×10/l150–400×10/l
Partial thrombin time (PTT)25 sec22–29 sec
International normalized ration (INR)1.2
Prothrombin time69%78–123%
Fibrinogen269 mg/dl170–420 mg/dl
Antithrombin III89%79–120%
Creatinine1.2 mg/dl0.6–1.1
eGFR (MDRD formula)44 ml/min>90 ml/min
Creatin kinase (CK)120 U/l0–145 U/l
Creatin kinase MB (CK-MB)12.1 ng/ml0–6.4 ng/ml
High-sensitive Troponin I552 pg/ml0–26 pg/ml
eGFR – estimated glomerular filtration rate; MDRD formula – Modification of Diet in Renal Disease formula.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923