TY - JOUR
AR - SCR-2021-9-115
TI - Different Approaches to Reduce Bleeding of a Hemophilia-A Patient during Cardiac Surgery
AU - Kianoush, Saberi
AU - Alireza , Bakhshandeh
AU - Shahnaz, Sharifi
AU - Mehrdad, Salehi
JO - Surgical Case Reports
PY - 2021
DA - Thu 30, Sep 2021
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2021.09.15
UR - https://www.sciencerepository.org/different-approaches-to-reduce_SCR-2021-9-115 
KW - Hemophilia, bleeding, cardiac surgery
AB - A 16-year-old hemophilia-A patient presented with symptomatic atrial septal defect (ASD). Managing bleeding during cardiovascular surgeries is a significant challenge, even for none-hemophilic patients, due to heparin administration, cardiopulmonary bypass (CPB) coagulopathy and surgical complications. This essay is an effort to discuss ASD, CPB effects on the coagulation system, and highlight some approaches to lower bleeding in hemophilic patients with congenital heart disease.