Surgical Complications in a Hemophilia Patient With Factor VIII Inhibitor and Their Endovascular Management

Author:

Sadat Umar1,Naik Jag2,Hayes Paul D.2

Affiliation:

1. Cambridge Vascular Unit, Addenbrooke's Hospital, Cambridge, United Kingdom,

2. Cambridge Vascular Unit, Addenbrooke's Hospital, Cambridge, United Kingdom

Abstract

Hemophilia, an X-linked disorder due to clotting factors VIII or IX deficiency, is associated with recurrent hemorrhage into joints, soft tissue, and organs. Recombinant factor VIII concentrates are available for the treatment of bleeding complications. However, inhibitors to factor VIII develop in 25% to 35% of patients with severe hemophilia A, making the management of bleeding episodes more complex. The treatment of unusual metachronous ruptured aneurysms in a patient with hemophilia A with factor VIII inhibitor is presented, and the outcomes of endovascular and open operations are discussed.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery

Reference13 articles.

1. Stress and incidence of bleeding in children and adolescents with hemophilia

2. The effects of postponing prophylactic treatment on long-term outcome in patients with severe hemophilia

3. Mauser-Bunschoten EP, Zijl JA, Mali W., van Rinsum AC, van den Berg HM, Roosendaal G. Successful treatment of severe bleeding in hemophilic target joints by elective angiographic embolization Blood. 2005;105: 2654-2657.

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