Anesthesia strategy for factor X deficiency coagulopathy: case report.

ABSTRACT

Factor X deficiency ranks among the rarest coagulopathies and has a variable presentation spectrum. We intend to present a proposal for anesthesia protocol for individuals with the coagulopathy. The excision of an ovarian neoplasm was proposed for a 26-year-old, female, ASA II patient, with congenital Factor X deficiency. Physical examination and lab tests were normal, except for Prothrombin Time (PT) 22.1s (VR 8-14s), International Normalized Ratio (INR) 1.99 (VR 0.8-1.2) and Activated Partial Thromboplastin Time (aPTT) 41.4s (VR 25-37s). We concluded that a history of bleeding should always be investigated, along with a pre-anesthetic coagulation study.