Total arch replacement for acute aortic dissection (Stanford A) in a patient with hemophilia A

Akira Furutachi; Kojiro Furukawa; Yoshimasa Oda; Shigeki Morita

doi:10.1016/j.athoracsur.2011.10.028

Total arch replacement for acute aortic dissection (Stanford A) in a patient with hemophilia A

Ann Thorac Surg. 2012 Mar;93(3):e61-2. doi: 10.1016/j.athoracsur.2011.10.028.

Authors

Akira Furutachi¹, Kojiro Furukawa, Yoshimasa Oda, Shigeki Morita

Affiliation

¹ Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University, Saga, Japan. a.furutachi@hotmail.co.jp

PMID: 22365017
DOI: 10.1016/j.athoracsur.2011.10.028

Abstract

As a result of improvements in medical management, patients suffering from hemophilia have a life expectancy approaching that of the normal population. An increased life expectancy, however, brings an increased risk of developing age-related disorders. Several article have reported elective cardiac operations successfully performed on hemophiliacs. To our knowledge, there are no articles describing such patients undergoing emergent aortic surgery. Our report describes the successful management of an individual with hemophilia A undergoing emergent total arch replacement for acute aortic dissection (Stanford A). We used a continuous infusion of factor VIII concentrate during the perioperative period. The patient was discharged without bleeding complications.

Publication types

Case Reports

MeSH terms

Acute Disease
Aorta, Thoracic / surgery*
Aortic Diseases / etiology
Aortic Diseases / surgery*
Hemophilia A / complications
Humans
Male
Middle Aged