J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 1193KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 91(6): 771-773, 1990

Case report

GASTRECTOMY FOR A PATIENT WTH CONGENITAL FACTOR VII DEFICIENCY
―A CASE REPORT―

Department of Surgery, Sendai Red Cross Hospital, Sendai, Japan

Kunitoshi Nakagawa, Akira Furusawa, Satoshi Momono, Yohei Sasaki, Kiichi Ujiie

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.

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