Anesthesia strategy for factor X deficiency coagulopathy: case report

Factor X deficiency ranks among the rarest coagulopathies and has a variable presentation spectrum. We intend to present a proposal for anesthesia protocol for individuals with the coagulopathy. The excision of an ovarian neoplasm was proposed for a 26-year-old, female, ASA II patient, with congenit...

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Detalles Bibliográficos
Autores principales: Ferreira, Carla Isabel, Costa, Fábio, Arantes, Ana Rita, Horta, Graça, Soares, Elsa, Félix, Filipa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9660004/
https://www.ncbi.nlm.nih.gov/pubmed/34800494
http://dx.doi.org/10.1016/j.bjane.2021.08.024
Descripción
Sumario:Factor X deficiency ranks among the rarest coagulopathies and has a variable presentation spectrum. We intend to present a proposal for anesthesia protocol for individuals with the coagulopathy. The excision of an ovarian neoplasm was proposed for a 26-year-old, female, ASA II patient, with congenital Factor X deficiency. Physical examination and lab tests were normal, except for Prothrombin Time (PT) 22.1s (VR: 8–14s), International Normalized Ratio (INR) 1.99 (VR: 0.8–1.2) and Activated Partial Thromboplastin Time (aPTT) 41.4s (VR: 25–37s). We concluded that a history of bleeding should always be investigated, along with a pre-anesthetic coagulation study.

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