Anesthetic management of a patient with factor VII deficiency undergoing laparoscopic colectomy: a case report

Background Congenital factor VII (FVII) deficiency is a rare autosomal recessive coagulation disorder that is characterized by prolongation of prothrombin time. Recombinant activated FVII (rFVIIa) is widely used in the management of bleeding in patients with congenital FVII deficiency. We experience...
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Autor*in:	Yoshida, Akari [verfasserIn] Kimoto, Yoshiki Ejiri, Kanako Mitani, Yasuyuki Kawamata, Tomoyuki

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2016

Schlagwörter:	Congenital FVII deficiency Coagulation management Recombinant activated FVII Surgical bleeding

Anmerkung:	© The Author(s) 2016

Übergeordnetes Werk:	Enthalten in: JA clinical reports - Berlin : Springer, 2015, 2(2016), 1 vom: 19. Okt.
Übergeordnetes Werk:	volume:2 ; year:2016 ; number:1 ; day:19 ; month:10

Links:	Volltext

DOI / URN:	10.1186/s40981-016-0059-0

Katalog-ID:	SPR038026333

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520			\|a Background Congenital factor VII (FVII) deficiency is a rare autosomal recessive coagulation disorder that is characterized by prolongation of prothrombin time. Recombinant activated FVII (rFVIIa) is widely used in the management of bleeding in patients with congenital FVII deficiency. We experienced anesthetic management of a patient with congenital FVII deficiency who was scheduled for laparoscopic colectomy using rFVIIa. Case presentation We report a 67-year-old man with rectal cancer who was diagnosed with congenital FVII deficiency. He was scheduled for laparoscopic colectomy. General anesthesia was performed with propofol, remifentanil, and rocuronium without epidural anesthesia. For coagulation management, 1 mg of rFVIIa was intravenously administered before starting surgery. During surgery, FVII activity and prothrombin time-international normalized ratio (PT-INR) were maintained to be above 10 % and within the normal range (0.8–1.2), respectively. The surgery was uneventfully completed. Conclusions We reported successful management of a patient with congenital FVII deficiency undergoing laparoscopic colectomy with monitoring of FVII activity and/or PT-INR.
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allfields	10.1186/s40981-016-0059-0 doi (DE-627)SPR038026333 (SPR)s40981-016-0059-0-e DE-627 ger DE-627 rakwb eng Yoshida, Akari verfasserin aut Anesthetic management of a patient with factor VII deficiency undergoing laparoscopic colectomy: a case report 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2016 Background Congenital factor VII (FVII) deficiency is a rare autosomal recessive coagulation disorder that is characterized by prolongation of prothrombin time. Recombinant activated FVII (rFVIIa) is widely used in the management of bleeding in patients with congenital FVII deficiency. We experienced anesthetic management of a patient with congenital FVII deficiency who was scheduled for laparoscopic colectomy using rFVIIa. Case presentation We report a 67-year-old man with rectal cancer who was diagnosed with congenital FVII deficiency. He was scheduled for laparoscopic colectomy. General anesthesia was performed with propofol, remifentanil, and rocuronium without epidural anesthesia. For coagulation management, 1 mg of rFVIIa was intravenously administered before starting surgery. During surgery, FVII activity and prothrombin time-international normalized ratio (PT-INR) were maintained to be above 10 % and within the normal range (0.8–1.2), respectively. The surgery was uneventfully completed. Conclusions We reported successful management of a patient with congenital FVII deficiency undergoing laparoscopic colectomy with monitoring of FVII activity and/or PT-INR. Congenital FVII deficiency (dpeaa)DE-He213 Coagulation management (dpeaa)DE-He213 Recombinant activated FVII (dpeaa)DE-He213 Surgical bleeding (dpeaa)DE-He213 Kimoto, Yoshiki aut Ejiri, Kanako aut Mitani, Yasuyuki aut Kawamata, Tomoyuki aut Enthalten in JA clinical reports Berlin : Springer, 2015 2(2016), 1 vom: 19. Okt. (DE-627)84410051X (DE-600)2842877-8 2363-9024 nnns volume:2 year:2016 number:1 day:19 month:10 https://dx.doi.org/10.1186/s40981-016-0059-0 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2016 1 19 10
spelling	10.1186/s40981-016-0059-0 doi (DE-627)SPR038026333 (SPR)s40981-016-0059-0-e DE-627 ger DE-627 rakwb eng Yoshida, Akari verfasserin aut Anesthetic management of a patient with factor VII deficiency undergoing laparoscopic colectomy: a case report 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2016 Background Congenital factor VII (FVII) deficiency is a rare autosomal recessive coagulation disorder that is characterized by prolongation of prothrombin time. Recombinant activated FVII (rFVIIa) is widely used in the management of bleeding in patients with congenital FVII deficiency. We experienced anesthetic management of a patient with congenital FVII deficiency who was scheduled for laparoscopic colectomy using rFVIIa. Case presentation We report a 67-year-old man with rectal cancer who was diagnosed with congenital FVII deficiency. He was scheduled for laparoscopic colectomy. General anesthesia was performed with propofol, remifentanil, and rocuronium without epidural anesthesia. For coagulation management, 1 mg of rFVIIa was intravenously administered before starting surgery. During surgery, FVII activity and prothrombin time-international normalized ratio (PT-INR) were maintained to be above 10 % and within the normal range (0.8–1.2), respectively. The surgery was uneventfully completed. Conclusions We reported successful management of a patient with congenital FVII deficiency undergoing laparoscopic colectomy with monitoring of FVII activity and/or PT-INR. Congenital FVII deficiency (dpeaa)DE-He213 Coagulation management (dpeaa)DE-He213 Recombinant activated FVII (dpeaa)DE-He213 Surgical bleeding (dpeaa)DE-He213 Kimoto, Yoshiki aut Ejiri, Kanako aut Mitani, Yasuyuki aut Kawamata, Tomoyuki aut Enthalten in JA clinical reports Berlin : Springer, 2015 2(2016), 1 vom: 19. Okt. (DE-627)84410051X (DE-600)2842877-8 2363-9024 nnns volume:2 year:2016 number:1 day:19 month:10 https://dx.doi.org/10.1186/s40981-016-0059-0 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2016 1 19 10
allfields_unstemmed	10.1186/s40981-016-0059-0 doi (DE-627)SPR038026333 (SPR)s40981-016-0059-0-e DE-627 ger DE-627 rakwb eng Yoshida, Akari verfasserin aut Anesthetic management of a patient with factor VII deficiency undergoing laparoscopic colectomy: a case report 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2016 Background Congenital factor VII (FVII) deficiency is a rare autosomal recessive coagulation disorder that is characterized by prolongation of prothrombin time. Recombinant activated FVII (rFVIIa) is widely used in the management of bleeding in patients with congenital FVII deficiency. We experienced anesthetic management of a patient with congenital FVII deficiency who was scheduled for laparoscopic colectomy using rFVIIa. Case presentation We report a 67-year-old man with rectal cancer who was diagnosed with congenital FVII deficiency. He was scheduled for laparoscopic colectomy. General anesthesia was performed with propofol, remifentanil, and rocuronium without epidural anesthesia. For coagulation management, 1 mg of rFVIIa was intravenously administered before starting surgery. During surgery, FVII activity and prothrombin time-international normalized ratio (PT-INR) were maintained to be above 10 % and within the normal range (0.8–1.2), respectively. The surgery was uneventfully completed. Conclusions We reported successful management of a patient with congenital FVII deficiency undergoing laparoscopic colectomy with monitoring of FVII activity and/or PT-INR. Congenital FVII deficiency (dpeaa)DE-He213 Coagulation management (dpeaa)DE-He213 Recombinant activated FVII (dpeaa)DE-He213 Surgical bleeding (dpeaa)DE-He213 Kimoto, Yoshiki aut Ejiri, Kanako aut Mitani, Yasuyuki aut Kawamata, Tomoyuki aut Enthalten in JA clinical reports Berlin : Springer, 2015 2(2016), 1 vom: 19. Okt. (DE-627)84410051X (DE-600)2842877-8 2363-9024 nnns volume:2 year:2016 number:1 day:19 month:10 https://dx.doi.org/10.1186/s40981-016-0059-0 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2016 1 19 10
allfieldsGer	10.1186/s40981-016-0059-0 doi (DE-627)SPR038026333 (SPR)s40981-016-0059-0-e DE-627 ger DE-627 rakwb eng Yoshida, Akari verfasserin aut Anesthetic management of a patient with factor VII deficiency undergoing laparoscopic colectomy: a case report 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2016 Background Congenital factor VII (FVII) deficiency is a rare autosomal recessive coagulation disorder that is characterized by prolongation of prothrombin time. Recombinant activated FVII (rFVIIa) is widely used in the management of bleeding in patients with congenital FVII deficiency. We experienced anesthetic management of a patient with congenital FVII deficiency who was scheduled for laparoscopic colectomy using rFVIIa. Case presentation We report a 67-year-old man with rectal cancer who was diagnosed with congenital FVII deficiency. He was scheduled for laparoscopic colectomy. General anesthesia was performed with propofol, remifentanil, and rocuronium without epidural anesthesia. For coagulation management, 1 mg of rFVIIa was intravenously administered before starting surgery. During surgery, FVII activity and prothrombin time-international normalized ratio (PT-INR) were maintained to be above 10 % and within the normal range (0.8–1.2), respectively. The surgery was uneventfully completed. Conclusions We reported successful management of a patient with congenital FVII deficiency undergoing laparoscopic colectomy with monitoring of FVII activity and/or PT-INR. Congenital FVII deficiency (dpeaa)DE-He213 Coagulation management (dpeaa)DE-He213 Recombinant activated FVII (dpeaa)DE-He213 Surgical bleeding (dpeaa)DE-He213 Kimoto, Yoshiki aut Ejiri, Kanako aut Mitani, Yasuyuki aut Kawamata, Tomoyuki aut Enthalten in JA clinical reports Berlin : Springer, 2015 2(2016), 1 vom: 19. Okt. (DE-627)84410051X (DE-600)2842877-8 2363-9024 nnns volume:2 year:2016 number:1 day:19 month:10 https://dx.doi.org/10.1186/s40981-016-0059-0 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2016 1 19 10
allfieldsSound	10.1186/s40981-016-0059-0 doi (DE-627)SPR038026333 (SPR)s40981-016-0059-0-e DE-627 ger DE-627 rakwb eng Yoshida, Akari verfasserin aut Anesthetic management of a patient with factor VII deficiency undergoing laparoscopic colectomy: a case report 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2016 Background Congenital factor VII (FVII) deficiency is a rare autosomal recessive coagulation disorder that is characterized by prolongation of prothrombin time. Recombinant activated FVII (rFVIIa) is widely used in the management of bleeding in patients with congenital FVII deficiency. We experienced anesthetic management of a patient with congenital FVII deficiency who was scheduled for laparoscopic colectomy using rFVIIa. Case presentation We report a 67-year-old man with rectal cancer who was diagnosed with congenital FVII deficiency. He was scheduled for laparoscopic colectomy. General anesthesia was performed with propofol, remifentanil, and rocuronium without epidural anesthesia. For coagulation management, 1 mg of rFVIIa was intravenously administered before starting surgery. During surgery, FVII activity and prothrombin time-international normalized ratio (PT-INR) were maintained to be above 10 % and within the normal range (0.8–1.2), respectively. The surgery was uneventfully completed. Conclusions We reported successful management of a patient with congenital FVII deficiency undergoing laparoscopic colectomy with monitoring of FVII activity and/or PT-INR. Congenital FVII deficiency (dpeaa)DE-He213 Coagulation management (dpeaa)DE-He213 Recombinant activated FVII (dpeaa)DE-He213 Surgical bleeding (dpeaa)DE-He213 Kimoto, Yoshiki aut Ejiri, Kanako aut Mitani, Yasuyuki aut Kawamata, Tomoyuki aut Enthalten in JA clinical reports Berlin : Springer, 2015 2(2016), 1 vom: 19. Okt. (DE-627)84410051X (DE-600)2842877-8 2363-9024 nnns volume:2 year:2016 number:1 day:19 month:10 https://dx.doi.org/10.1186/s40981-016-0059-0 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 2 2016 1 19 10
language	English
source	Enthalten in JA clinical reports 2(2016), 1 vom: 19. Okt. volume:2 year:2016 number:1 day:19 month:10
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topic_facet	Congenital FVII deficiency Coagulation management Recombinant activated FVII Surgical bleeding
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Recombinant activated FVII (rFVIIa) is widely used in the management of bleeding in patients with congenital FVII deficiency. We experienced anesthetic management of a patient with congenital FVII deficiency who was scheduled for laparoscopic colectomy using rFVIIa. Case presentation We report a 67-year-old man with rectal cancer who was diagnosed with congenital FVII deficiency. He was scheduled for laparoscopic colectomy. General anesthesia was performed with propofol, remifentanil, and rocuronium without epidural anesthesia. For coagulation management, 1 mg of rFVIIa was intravenously administered before starting surgery. During surgery, FVII activity and prothrombin time-international normalized ratio (PT-INR) were maintained to be above 10 % and within the normal range (0.8–1.2), respectively. The surgery was uneventfully completed. 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author	Yoshida, Akari
spellingShingle	Yoshida, Akari misc Congenital FVII deficiency misc Coagulation management misc Recombinant activated FVII misc Surgical bleeding Anesthetic management of a patient with factor VII deficiency undergoing laparoscopic colectomy: a case report
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topic_title	Anesthetic management of a patient with factor VII deficiency undergoing laparoscopic colectomy: a case report Congenital FVII deficiency (dpeaa)DE-He213 Coagulation management (dpeaa)DE-He213 Recombinant activated FVII (dpeaa)DE-He213 Surgical bleeding (dpeaa)DE-He213
topic	misc Congenital FVII deficiency misc Coagulation management misc Recombinant activated FVII misc Surgical bleeding
topic_unstemmed	misc Congenital FVII deficiency misc Coagulation management misc Recombinant activated FVII misc Surgical bleeding
topic_browse	misc Congenital FVII deficiency misc Coagulation management misc Recombinant activated FVII misc Surgical bleeding
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title	Anesthetic management of a patient with factor VII deficiency undergoing laparoscopic colectomy: a case report
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title_full	Anesthetic management of a patient with factor VII deficiency undergoing laparoscopic colectomy: a case report
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author_browse	Yoshida, Akari Kimoto, Yoshiki Ejiri, Kanako Mitani, Yasuyuki Kawamata, Tomoyuki
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title_sort	anesthetic management of a patient with factor vii deficiency undergoing laparoscopic colectomy: a case report
title_auth	Anesthetic management of a patient with factor VII deficiency undergoing laparoscopic colectomy: a case report
abstract	Background Congenital factor VII (FVII) deficiency is a rare autosomal recessive coagulation disorder that is characterized by prolongation of prothrombin time. Recombinant activated FVII (rFVIIa) is widely used in the management of bleeding in patients with congenital FVII deficiency. We experienced anesthetic management of a patient with congenital FVII deficiency who was scheduled for laparoscopic colectomy using rFVIIa. Case presentation We report a 67-year-old man with rectal cancer who was diagnosed with congenital FVII deficiency. He was scheduled for laparoscopic colectomy. General anesthesia was performed with propofol, remifentanil, and rocuronium without epidural anesthesia. For coagulation management, 1 mg of rFVIIa was intravenously administered before starting surgery. During surgery, FVII activity and prothrombin time-international normalized ratio (PT-INR) were maintained to be above 10 % and within the normal range (0.8–1.2), respectively. The surgery was uneventfully completed. Conclusions We reported successful management of a patient with congenital FVII deficiency undergoing laparoscopic colectomy with monitoring of FVII activity and/or PT-INR. © The Author(s) 2016
abstractGer	Background Congenital factor VII (FVII) deficiency is a rare autosomal recessive coagulation disorder that is characterized by prolongation of prothrombin time. Recombinant activated FVII (rFVIIa) is widely used in the management of bleeding in patients with congenital FVII deficiency. We experienced anesthetic management of a patient with congenital FVII deficiency who was scheduled for laparoscopic colectomy using rFVIIa. Case presentation We report a 67-year-old man with rectal cancer who was diagnosed with congenital FVII deficiency. He was scheduled for laparoscopic colectomy. General anesthesia was performed with propofol, remifentanil, and rocuronium without epidural anesthesia. For coagulation management, 1 mg of rFVIIa was intravenously administered before starting surgery. During surgery, FVII activity and prothrombin time-international normalized ratio (PT-INR) were maintained to be above 10 % and within the normal range (0.8–1.2), respectively. The surgery was uneventfully completed. Conclusions We reported successful management of a patient with congenital FVII deficiency undergoing laparoscopic colectomy with monitoring of FVII activity and/or PT-INR. © The Author(s) 2016
abstract_unstemmed	Background Congenital factor VII (FVII) deficiency is a rare autosomal recessive coagulation disorder that is characterized by prolongation of prothrombin time. Recombinant activated FVII (rFVIIa) is widely used in the management of bleeding in patients with congenital FVII deficiency. We experienced anesthetic management of a patient with congenital FVII deficiency who was scheduled for laparoscopic colectomy using rFVIIa. Case presentation We report a 67-year-old man with rectal cancer who was diagnosed with congenital FVII deficiency. He was scheduled for laparoscopic colectomy. General anesthesia was performed with propofol, remifentanil, and rocuronium without epidural anesthesia. For coagulation management, 1 mg of rFVIIa was intravenously administered before starting surgery. During surgery, FVII activity and prothrombin time-international normalized ratio (PT-INR) were maintained to be above 10 % and within the normal range (0.8–1.2), respectively. The surgery was uneventfully completed. Conclusions We reported successful management of a patient with congenital FVII deficiency undergoing laparoscopic colectomy with monitoring of FVII activity and/or PT-INR. © The Author(s) 2016
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title_short	Anesthetic management of a patient with factor VII deficiency undergoing laparoscopic colectomy: a case report
url	https://dx.doi.org/10.1186/s40981-016-0059-0
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author2	Kimoto, Yoshiki Ejiri, Kanako Mitani, Yasuyuki Kawamata, Tomoyuki
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up_date	2024-07-03T15:48:18.235Z
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Recombinant activated FVII (rFVIIa) is widely used in the management of bleeding in patients with congenital FVII deficiency. We experienced anesthetic management of a patient with congenital FVII deficiency who was scheduled for laparoscopic colectomy using rFVIIa. Case presentation We report a 67-year-old man with rectal cancer who was diagnosed with congenital FVII deficiency. He was scheduled for laparoscopic colectomy. General anesthesia was performed with propofol, remifentanil, and rocuronium without epidural anesthesia. For coagulation management, 1 mg of rFVIIa was intravenously administered before starting surgery. During surgery, FVII activity and prothrombin time-international normalized ratio (PT-INR) were maintained to be above 10 % and within the normal range (0.8–1.2), respectively. The surgery was uneventfully completed. 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Anesthetic management of a patient with factor VII deficiency undergoing laparoscopic colectomy: a case report

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