title: Successful aortic valve replacement surgery in a patient with severe haemophilia a with low titre inhibitor.
abstract: In spite of the modern day innovations, managing severe Haemophilia patients with inhibitors continues to be a challenge. The management of patients with severe haemophilia with inhibitors who are undergoing major surgeries like open heart surgery is technically demanding, fraught with peri-operative complications and needs a multidisciplinary approach. We describe a young man with severe haemophilia with low titre inhibitors who underwent a successful open heart surgery and aortic valve replacement, supported only with bolus doses of Factor VIII and tranexamic acid without any complications.
authors.affiliation: Department of Haematology, Narayana Hrudayalaya, No. 258/A, Bomasandra Industrial Area, Anekal Taluq, Bangalore, 560099 Karnataka India.
authors.forename: Sharat
authors.initials: S
authors.lastname: Damodar
authors.affiliation: Department of Haematology, Narayana Hrudayalaya, No. 258/A, Bomasandra Industrial Area, Anekal Taluq, Bangalore, 560099 Karnataka India.
authors.forename: Prashantha
authors.initials: P
authors.lastname: Bhat
authors.affiliation: Department of Cardiac Surgery, Narayana Hrudayalaya, Bangalore, 560099 Karnataka India.
authors.forename: Praveen
authors.initials: P
authors.lastname: Kumar
authors.affiliation: Department of Cardiac Surgery, Narayana Hrudayalaya, Bangalore, 560099 Karnataka India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Tr
authors.affiliation: Intensive Care Unit, Narayana Hrudayalaya, Bangalore, 560099 Karnataka India.
authors.forename: Ratan
authors.initials: R
authors.lastname: Gupta
keywords: Aortic valve replacement; Cardiac surgery; Haemophilia; Inhibitors