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Ann Thorac Surg 2003;75:1304-1306
© 2003 The Society of Thoracic Surgeons

Case report

Hemopneumothorax associated with marfan syndrome and congenital afibrinogenemia

Ryuzo Kanno, MDa*, Hiroyuki Suzuki, MDa, Koichi Fujiu, MDa, Yasuaki Yoshino, MDa, Akio Ohishi, MDb, Mitsukazu Gotoh, MDa

a First Department of Surgery, Fukushima Medical University, Fukushima, Japan
b Department of Surgery, Fukushima Red Cross Hospital, Fukushima, Japan

Accepted for publication October 8, 2002.

* Address reprint requests to Dr Kanno, First Department of Surgery, Fukushima Medical University, 1 Hikarigaoka, Fukushima 960-1295, Japan
e-mail: ryuzo{at}fmu.ac.jp

In patients with afibrinogenemia who require operation, prophylaxis against bleeding is important. We report the case of a 14-year-old boy with Marfan syndrome and congenital afibrinogenemia in whom hemopneumothorax developed. Video-assisted thoracoscopic surgery was performed successfully under intravenous administration of fibrinogen and with careful monitoring of plasma fibrinogen level.






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