Is it safe to perform coronary artery bypass grafting surgery in patients with hemophilia? A case series of four patients

Fatoş Dilan Köseoğlu¹, Zühal Demirci², Ümit Kahraman³, Güray Saydam², Fahri Şahin²

¹Department of Internal Medicine, Division of Hematology, Bakırçay University Faculty of Medicine, İzmir, Türkiye
²Ege University Hospital, Thrombosis and Hemostasis Center, İzmir, Türkiye
³Department of Cardiovascular Surgery, Ege University Faculty of Medicine, İzmir, Türkiye

DOI : 10.5606/tgkdc.dergisi.2025.25800

Abstract

Hemophilia is a genetic disorder that mainly affects males and leads to a higher risk of bleeding. There is a lack of clarity regarding the safety of coronary artery bypass grafting (CABG) surgery in patients with hemophilia. In this case series, real-life data of four male hemophilia patients aged 45 to 66 years who underwent CABG was presented. One patient needed to undergo reexploration due to nonsurgical bleeding. However, all patients were discharged in good condition. The current experience revealed that CABG in hemophilia patients is safe to perform with a multidisciplinary approach involving hematologists, anesthesiologists, and cardiovascular surgeons.

Abstract

Keywords : Cardiovascular disease; coronary artery bypass grafting; hemophilia; surgery

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