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[Myocardial infarction in a patient with hemophilia A--a case report]

Dorota Wójcik1, Jerzy Rekosz, Jacek Woźniak

  • 1Oddział Kardiologiczny Wojewódzkiej Stacji Pogotowia Ratunkowego, Warszawa, Poland.

Kardiologia Polska
|December 12, 2003
PubMed

Insights

A man with hemophilia A experienced myocardial infarction. Successful angioplasty of the left anterior descending artery was performed after factor VIII administration.

Area of Science:

  • Cardiology
  • Hematology

Background:

  • Hemophilia A is a genetic bleeding disorder.
  • Coronary artery disease can occur in patients with hemophilia.

Observation:

  • A 43-year-old male with hemophilia A presented with symptoms of myocardial infarction.
  • Diagnostic tests confirmed an anterior wall myocardial infarction.

Findings:

  • Coronary angiography revealed severe stenosis in the left anterior descending artery and occlusion of the circumflex artery.
  • Percutaneous coronary intervention (PCI) of the LAD was successfully performed.
  • Antihemophilic globulin (factor VIII) was administered prior to the procedure.

Implications:

  • This case highlights the successful management of acute coronary syndrome in a patient with hemophilia A.
  • It underscores the importance of multidisciplinary care involving cardiology and hematology.
  • The use of factor VIII replacement therapy facilitated the safe performance of coronary angioplasty.

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