Open AccessAortic valve and coronary artery bypass surgery in a patient with factor VII deficiency
Author(s) -
Larissa Henze,
Christian Junghanß,
Alper Öner,
Pascal M. Dohmen,
Anthony Alozie
Publication year - 2021
Publication title -
annals of cardiac anaesthesia/annals of cardiac anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.42
H-Index - 27
eISSN - 0974-5181
pISSN - 0971-9784
DOI - 10.4103/aca.aca_181_20
Subject(s) - medicine , perioperative , asymptomatic , aortic valve replacement , atrial fibrillation , stenosis , cardiology , surgery , coronary artery disease , valvular heart disease , risk factor , artery , aortic valve , cardiac surgery
Congenital factor VII (FVII) deficiency is a rare bleeding disorder (RBD) with phenotypes ranging from asymptomatic state to life threatening bleeding episodes. There is no established recommendation for the perioperative management of patients scheduled for cardiac surgery. We have described the perioperative management of a patient with FVII deficiency treated for aortic valve stenosis, coronary artery disease, and atrial fibrillation. Balancing perioperative bleeding risk and risks of thrombotic events thereafter in such patients is difficult and requires a multidisciplinary approach.