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Off-pump technique and replacement therapy for coronary artery bypass surgery in a patient with hemophilia B.
Fernández-Caballero, M; Martinez, M F; Oristrell, G; Palmer, N; Santamaría, A.
Afiliação
  • Fernández-Caballero M; Hemophilia and Thrombosis Unit, Department of Hematology, Vall d'Hebron University Hospital, Barcelona, Spain. marifc87@gmail.com.
  • Martinez MF; Hemophilia and Thrombosis Unit, Department of Hematology, Vall d'Hebron University Hospital, Barcelona, Spain.
  • Oristrell G; Department of Cardiology, Vall d'Hebron University Hospital, Barcelona, Spain.
  • Palmer N; Department of Cardiac Surgery, Vall d'Hebron University Hospital, Barcelona, Spain.
  • Santamaría A; Hemophilia and Thrombosis Unit, Department of Hematology, Vall d'Hebron University Hospital, Barcelona, Spain.
J Thromb Thrombolysis ; 48(2): 299-302, 2019 Aug.
Article em En | MEDLINE | ID: mdl-31152365
Antithrombotic treatment and perioperative management in patients with hemophilia remains a challenge. As life expectancy in these patients is increasing, a concern about cardiovascular diseases is emerging. Herein we present the case of a 68 year-old patient with mild hemophilia B and multivessel coronary disease who underwent coronary artery bypass grafting (CABG) surgery. Off-pump surgery with continuous infusion FIX treatment was performed successfully with stable factor IX levels, and no bleeding or thrombotic complications. There is a paucity of cases reported regarding management of CABG in this population. To our knowledge, this is the first patient with mild hemophilia B that underwent CABG surgery with off-pump technique, that seems to be a secure and effective procedure.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ponte de Artéria Coronária / Hemofilia B Limite: Aged / Humans Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Ponte de Artéria Coronária / Hemofilia B Limite: Aged / Humans Idioma: En Ano de publicação: 2019 Tipo de documento: Article