Aortic and Mitral Valve Replacement in a Patient with Hemophilia B

A 25-year-old man with factor IX deficiency had an aortic and mitral valve replacement using a 2M Starr Edwards valve in the mitral position and a 22 Medtronic valve in the aortic position under cover of factor IX concentrate. The surgical procedure and the immediate postoperative period were uneven...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2007-12, Vol.15 (6), p.526-527
Main Authors: Thankachen, Roy, George, Biju, Shukla, Vinayak, Korula, Roy J
Format: Article
Language:English
Subjects:
Acenocoumarol - therapeutic use
Adult
Anticoagulants - therapeutic use
Aortic Valve - surgery
Coagulants - administration & dosage
Factor IX - administration & dosage
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - instrumentation
Hemophilia B - complications
Hemophilia B - drug therapy
Hemophilia B - surgery
Heparin - therapeutic use
Humans
Male
Mitral Valve - surgery
Prosthesis Design
Rheumatic Heart Disease - complications
Rheumatic Heart Disease - drug therapy
Rheumatic Heart Disease - surgery
Treatment Outcome
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Summary:A 25-year-old man with factor IX deficiency had an aortic and mitral valve replacement using a 2M Starr Edwards valve in the mitral position and a 22 Medtronic valve in the aortic position under cover of factor IX concentrate. The surgical procedure and the immediate postoperative period were uneventful except for a pericardial effusion which required a pericardiostomy. He was anticoagulated with heparin in the immediate postoperative period while the factor IX concentrate was being administered. Oral anticoagulation with acenocoumarol (Acitrom®) was started, maintaining the international normalized ratio between 1.5 and 2. He was doing well at follow-up 9 months later.
ISSN:0218-4923
1816-5370
DOI:10.1177/021849230701500618