Factor V Deficiency (Owren's Disease) in a Patient at High Risk for Transfusion-Associated Circulatory Overload and Bleeding During Laser Lead Extraction.


Journal

Journal of cardiothoracic and vascular anesthesia
ISSN: 1532-8422
Titre abrégé: J Cardiothorac Vasc Anesth
Pays: United States
ID NLM: 9110208

Informations de publication

Date de publication:
01 2022
Historique:
received: 19 11 2020
revised: 05 02 2021
accepted: 07 02 2021
pubmed: 22 3 2021
medline: 1 2 2022
entrez: 21 3 2021
Statut: ppublish

Résumé

Congenital factor V deficiency is an extremely rare abnormality and may be associated with significant bleeding as a result of trauma or surgery. Perioperative management primarily includes the administration of fresh frozen plasma to replace the deficient clotting factor. Acute administration of multiple blood products is a risk factor for transfusion-associated circulatory overload. Herein, the case of a 71-year-old man with an ejection fraction of 13% and a history of congenital factor V deficiency who was at risk for significant bleeding and transfusion-associated circulatory overload who underwent successful complex extraction of a right atrial pacing lead is reported.

Identifiants

pubmed: 33744111
pii: S1053-0770(21)00121-X
doi: 10.1053/j.jvca.2021.02.026
pii:
doi:

Substances chimiques

Blood Coagulation Factors 0

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

242-245

Commentaires et corrections

Type : CommentIn

Informations de copyright

Copyright © 2021 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflict of Interest The authors have no disclosures related to the creation of this manuscript.

Auteurs

Michael G Fitzsimons (MG)

Harvard Medical School, Boston, MA; Division of Cardiac Anesthesia, Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA. Electronic address: mfitzsimons@partners.org.

Conor Barrett (C)

Cardiac Arrhythmia Service, Cardiology Division, Department of Medicine, Massachusetts General Hospital, Boston, MA.

Scott Streckenbach (S)

Harvard Medical School, Boston, MA; Division of Cardiac Anesthesia, Department of Anesthesia, Critical Care, and Pain Medicine, Massachusetts General Hospital, Boston, MA.

Pavan K Bendapudi (PK)

Division of Hematology and Blood Transfusion Service, Department of Medicine, Massachusetts General Hospital, Boston, MA.

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Classifications MeSH