Treatment for abdominal aortic aneurysm in a patient with hemophilia A: A case report and review of the literature

M. Kobayashi, M. Matsushita, N. Nishikimi, T. Sakurai, J. Takamatsu, Y. Nimura

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

A 77-year-old man with abdominal aortic aneurysm (AAA) was referred to our department. His AAA, which was 6 cm in diameter, was found incidentally with ultrasonography. On admission the diagnosis of hemophilia A was made for the first time in his life because activated partial thromboplastin time was decreased to 32.3% and factor VIII coagulant activity was 2.1% (normal range 40% to 140%). Recombinant factor VIII supplemental therapy was continued during surgery to maintain his factor VIII level within the normal range. His AAA was operated successfully with bifurcated graft replacement. No unusual bleeding complications occurred during his hospitalization. With proper preparation the patient with AAA and hemophilia A can safely undergo surgical treatment. Three other cases of AAA with hemophilia in the English literature were reviewed, and this is the oldest patient with hemophilia who underwent AAA surgery.

Original languageEnglish
Pages (from-to)945-948
Number of pages4
JournalJournal of Vascular Surgery
Volume25
Issue number5
DOIs
Publication statusPublished - 1997
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Cardiology and Cardiovascular Medicine

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