Repair of abdominal aortic aneurysm in severe Factor VII deficiency.
Congenital Factor VII deficiency is a rare disorder associated with reduced levels of Factor VII activity. Replacement therapy is necessary to control hemorrhaging or if surgery is needed. We report operative treatment of one case of chronic abdominal aortic aneurysm in a patient affected by a severe form of congenital Factor VII deficiency (endogenous FVII level <1%). The operation was carried out after the administration of Factor VII concentrate raised the Factor VII concentration to hemostatic levels. The patient continued to receive the concentrate every 6 hrs during the first three postoperative days. Dosage was assessed to obtain Factor VII levels not lower than 25%. No postoperative bleeding or thrombotic events were observed. The patient was discharged in excellent condition.
Ferlan
G
G
Division of Cardiac Surgery, Faculty of Medicine, University of Bari, Italy.
De Pasquale
C
C
Testini
M
M
Agnino
A
A
D'Agostino
D
D
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000601:surgery*; D002908:Chronic Disease; D005167:Factor VII / Q000627:therapeutic use; D005168:Factor VII Deficiency / Q000150:complications* / Q000151:congenital / Q000628:therapy; D006801:Humans; D008297:Male
D005167:Factor VII