Cases reported "Hemophilia A"

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1/4. Successful use of recombinant factor viia in a haemophiliac with inhibitor undergoing cataract surgery.

    A 40-year-old patient with severe haemophilia A and an inhibitor against factor viii underwent a cataract extraction under local anaesthesia. Recombinant activated factor VII was use to achieve haemostasis. The procedure was successful. Neither bleeding complications nor side effects occurred.
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ranking = 1
keywords = anaesthesia
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2/4. Short-course use of recombinant factor viia in a haemophilia patient with inhibitor undergoing cataract surgeries.

    A 36 year-old patient with severe haemophilia A and high-titre inhibitor underwent cataract surgery under topical anaesthesia. Recombinant factor viia was used only three times, once before and twice following surgery. tranexamic acid was given concomitantly. One month after the first successful procedure on the right eye, a second operation was performed on the left eye in the same manner. Both procedures were uneventful. Neither bleeding complications nor any other side effects occurred.
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ranking = 1
keywords = anaesthesia
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3/4. Bilateral cataract: extraction in classic haemophilia with retrobulbar anaesthesia and peripheral iridectomy.

    A 47-year-old factor viii deficient haemophiliac successfully underwent bilateral cataract extraction. The use of cryoprecipitates to achieve haemostasis permitted retrobulbar anaesthesia and a peripheral iridectomy without complication. We consider that the use of cryoprecipitated factor viii concentrate allows safe elective ocular surgery in patients with classic haemophilia.
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ranking = 5
keywords = anaesthesia
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4/4. diagnosis and anaesthesia management of haemophilia during the neonatal period.

    We report here the case of a newborn infant admitted to our hospital for moderate gastro-intestinal bleeding. Despite abnormal value for aPTT, diagnosis of moderate haemophilia A was only made preoperatively when surgery was deemed necessary to treat pyloric stenosis. Clinical circumstances of the diagnosis and anaesthesia management of haemophilia during the neonatal period are discussed.
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ranking = 5
keywords = anaesthesia
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