Endovascular abdominal aortic aneurysm repair in a patient with severe hemophilia B

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Abstract

Purpose: To report a case of endovascular aneurysm repair (EVAR) in a patient with severe hemophilia B. Case report: A 63-year-old man with severe hemophilia B was referred for the treatment of a symptomatic infrarenal aortic aneurysm that had enlarged from 3.1 to 4.2 cm in diameter in the last 6 months. The patient was successfully treated with EVAR, associated with perioperative administration of titrated doses of high-purity factor IX concentrate. There were no perioperative complications, but a small type II endoleak was found on the initial postoperative computed tomographic scan; on the 6 month scan, the endoleak had not changed, and it is under intensive surveillance. Conclusion: This case demonstrates that endovascular abdominal aortic repair is safe and feasible in severe hemophilic patients managed perioperatively with deficient coagulant protein replacement.

Original languageEnglish
Pages (from-to)120-123
Number of pages4
JournalJournal of Endovascular Therapy
Volume16
Issue number1
DOIs
Publication statusPublished - Feb 2009

Keywords

  • Abdominal aortic aneurysm
  • Endovascular aneurysm repair
  • Hemophilia
  • Stent-graft

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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