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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 2. Timetable.

Admission to ward17.07.2021 01: 07
Last edoxaban intake22.07.2021 07: 35
Right-heart catheter beginning23.07.2021 10: 26
5000 i.e. heparin administration23.07.2021 10: 28
Pressure drop23.07.2021 10: 48
Noradrenaline i.v. application23.07.2021 10: 54
Pericardiocentesis23.07.2021 11: 02
5000 i.e. protamine23.07.2021 11: 08
400 mg andexanet alfa23.07.2021 11: 18
Intubation and ventilation23.07.2021 11: 48
Air rescue take off23.07.2021 13: 10
Air rescue landing23.07.2021 13: 20
Anesthesia contact23.07.2021 13: 39
Measurement of anti-Xa activity23.07.2021 14: 14
Surgery start23.07.2021 14: 32
Surgery end23.07.2021 17: 19
Admission to ICU23.07.2021 17: 40
Restart of anticoagulation in form of unfractionated heparin24.07.2021 07: 15
Admission to ward27.07.2021 11: 02
Discharge from hospital06.08.2021 11: 22

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