Author/Authors :
Sahin, F Ege Üniversitesi - Iç Hastalıkları Anabilim Dalı-Hematoloji Bilim Dalı, Turkey , Engin, Ç Ege Üniversitesi - Kalp ve Damar Cerrahisi Anabilim Dalı, Turkey , Yağdı, T Ege Üniversitesi - Kalp ve Damar Cerrahisi Anabilim Dalı, Turkey , Saydam, G Ege Üniversitesi - Iç Hastalıkları Anabilim Dalı-Hematoloji Bilim Dalı, Turkey
Abstract :
Coronary surgery in patients with hemophilia is a challenging issue since it requires specific and a careful medical approach before, during and after the operation. Although several studies have shown the effectiveness of either intermittent or continuous infusion of factor VIII concentrates, there are no standardized schedules for the replacement therapy in these kinds of patients. We hereby present a case of severe hemophilia A and coronary event which was successfully managed by surgical approach supported by intermittent high dose factor VIII infusion. The patient underwent a surgical by-pass operation without any hemorrhagic and thrombotic complications..