The Journal of Thoracic and Cardiovascular Surgery, Vol 77, 562-569, Copyright © 1979 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
Coronary bypass in a patient with hemophilia B, or Christmas disease. Case report
KD Tourbaf, RE Bettigole, JA Zizzi, S Subramanian and MN Andersen
A 40-year-old patient with moderate factor IX deficiency (Christmas
disease) underwent quadruple saphenous vein coronary bypass grafts for
angina and severe coronary atherosclerosis involving the left and right
main, left anterior descending, and circumflex coronary arteries. Excessive
bleeding was prevented by infusion of factor IX concentrates during and
after the operation. The surgical procedure and total body perfusion were
carried out in the same manner as in patients without a hemorrhagic
disorder. The patient was discharged after 13 days of hospitalization. He
is doing well at the time of this publication and has returned to work.