Anesthesia strategy for factor X deficiency coagulopathy: case report

AUTOR(ES)

Ferreira, Carla Isabel; Costa, Fábio; Arantes, Ana Rita; Horta, Graça; Soares, Elsa; Félix, Filipa

FONTE

Brazilian Journal of Anesthesiology

DATA DE PUBLICAÇÃO

2022

RESUMO

Abstract Factor X deficiency ranks among the rarest coagulopathies and has a variable presentation spectrum. We intend to present a proposal for anesthesia protocol for individuals with the coagulopathy. The excision of an ovarian neoplasm was proposed for a 26-year-old, female, ASA II patient, with congenital Factor X deficiency. Physical examination and lab tests were normal, except for Prothrombin Time (PT) 22.1s (VR: 8-14s), International Normalized Ratio (INR) 1.99 (VR: 0.8-1.2) and Activated Partial Thromboplastin Time (aPTT) 41.4s (VR: 25-37s). We concluded that a history of bleeding should always be investigated, along with a pre-anesthetic coagulation study.

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