Brazilian Journal of Anesthesiology
Brazilian Journal of Anesthesiology
Case Report

Anesthesia strategy for factor X deficiency coagulopathy: case report

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

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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.


Factor X;  Anesthesia;  Management


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