Intraoperative thromboelastography-guided transfusion in a patient with factor XI deficiency: A case report.

ABSTRACT:

Background

Factor XI (FXI) deficiency, also known as hemophilia C, is a rare bleeding disorder of unpredictable severity that correlates poorly with FXI coagulation activity. This often poses great challenges in perioperative hemostatic management. Thromboelastography (TEG) is a method for testing blood coagulation using a viscoelastic hemostatic assay of whole blood to assess the overall coagulation status. Here, we present the successful application of intraoperative TEG monitoring in an FXI-deficient patient as an individualized blood transfusion strategy.

Case summary

A 21-year-old male patient with FXI deficiency was scheduled to undergo reconstructive surgery for macrodactyly of the left foot under general anesthesia. To minimize his bleeding risk, he was scheduled to

SUBMITTER: Guo WJ 

PROVIDER: S-EPMC8727276 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature