1. [Gastrectomy for a patient with congenital factor VII deficiency--a case report].
- Author
-
Nakagawa K, Furusawa A, Momono S, Sasaki Y, and Ujiie K
- Subjects
- Aged, Factor VII administration & dosage, Factor VII Deficiency complications, Factor VII Deficiency drug therapy, Humans, Male, Stomach Neoplasms surgery, Factor VII Deficiency congenital, Gastrectomy, Stomach Neoplasms complications
- Abstract
A 76-year-old man with congenital factor VII deficiency was admitted to our hospital for the treatment of gastric cancer. On admission, the hepaplastin test was prolonged reaching to 21% and factor VII activity was reduced to 8%. After preoperative heat-treated prothrombin complex concentrates loading test, factor VII levels had been maintained above 20% by every four-hour infusion of concentrates during operation and the first post operative day. Bleeding tendency didn't occur, but thrombosis occurred at the left femoral vein. Pre and postoperative replacement therapy is essential to the patient with congenital factor VII deficiency for the safety of operation.
- Published
- 1990