{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:54:50Z","timestamp":1762476890250,"version":"build-2065373602"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T00:00:00Z","timestamp":1610668800000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Dentistry"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>An 84\u2010year\u2010old woman underwent soft palate resection and skin grafting with tie\u2010over under general anesthesia. Fourteen years previously, she had undergone aortic valve replacement and coronary artery bypass grafting followed by lifelong warfarin and aspirin anticoagulation. We terminated the two drugs 8 and 6 days, respectively, before the present surgery and substituted intravenous heparin (10,000\u2009units\/day), which was terminated 6\u2009h preoperatively. The surgery was uneventful. Heparin was restarted 2 days postoperatively but without warfarin potassium or aspirin because of postoperative soft palate bleeding, which continued for 10 days despite compression hemostasis. On day 10, she exhibited a suffocating large hemorrhagic mass, leading to cardiopulmonary arrest. Emergency consultation with medical doctors and dental anesthetists resulted in pulmonary resuscitation and tracheal intubation. After confirming spontaneous circulation\/respiration, she was transferred to the intensive care unit. We now consider it essential that all medical\/surgical\/anesthesia specialists managing patients under anticoagulant therapy collaborate perioperatively.<\/jats:p>","DOI":"10.1155\/2021\/8861061","type":"journal-article","created":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T23:50:09Z","timestamp":1610754609000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cardiopulmonary Arrest with Airway Obstruction due to Postoperative Bleeding"],"prefix":"10.1155","volume":"2021","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8908-6602","authenticated-orcid":false,"given":"Kenichi","family":"Sato","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mami","family":"Chikuda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoshihisa","family":"Miyamae","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miwako","family":"Kan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,1,15]]},"reference":[{"key":"e_1_2_9_1_2","unstructured":"Japanese Circulation Society Japanese Coronary Association Japanese Association for Thoracic Surgery Japanese Society on Thrombosis and Hemostasis Japanese Society of Pediatric Cardiology and Cardiac Surgery Japanese Society of Neurology Japanese Association of Cardiovascular Intervention and Terapeutics Japanese Society for Artificial Organs Japanese Society for Cardiovascular Surgery Japanese College of Cardiology The Japan Stroke Society Japanese College of Angiology andJapanese Society of Hematology Guidelines for anticoagulant and antiplatelet therapy for cardiovascular disease 2009 http:\/\/www.j-circ.or.jp\/guideline\/pdf\/JCS2009_hori_h.pdf."},{"key":"e_1_2_9_2_2","first-page":"216","article-title":"A case of obstruction from airway swelling due to abnormal bleeding after partial lysis of the tongue","volume":"42","author":"Oga K.","year":"2013","journal-title":"Journal of Japanese Dental Society of Anesthesiology"},{"key":"e_1_2_9_3_2","first-page":"223","article-title":"Examination of surgical cases of antithrombotic therapy during the perioperative period replaced with heparin","volume":"58","author":"Matsuoka T.","year":"2012","journal-title":"Acta urolgica Japonica"},{"key":"e_1_2_9_4_2","first-page":"173","article-title":"A study of 12 cases of general anesthesia oral surgery in patients under anticoagulant therapy","volume":"17","author":"Kataoka T.","year":"2008","journal-title":"Journal of Japanese Society of Dentistry for Medically Compromised Patient"},{"volume-title":"Guidelines for tooth loss in patients with antithrombotic therapy based on scientific evidence","year":"2015","author":"Japanese Society of Dentistry for Medical Compromised Patient","key":"e_1_2_9_5_2"},{"key":"e_1_2_9_6_2","unstructured":"Iwate Medical University Guide to discontinuing oral anticoagulants and antiplatelet drugs Medical Safety Manual 2014 13th edition Iwate Medical University."},{"key":"e_1_2_9_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.158.15.1610"},{"key":"e_1_2_9_8_2","first-page":"1217","article-title":"Effects of discontinuing aspirin therapy on the risk of brain ischemic stroke","volume":"62","author":"Alexadre B. 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