We report the hematologic and invasive electrophysiologic management of a 12-year-old boy with mild hemophilia A (factor VIII deficiency) and atrioventricular nodal reentrant tachycardia. Thoughtful preparation with detailed input from the patient's comprehensive hemophilia center combined with vigilant pericatheterization hematologic management allowed for safe and successful cryoablation of this arrhythmia. Strategies for the management of patients with bleeding disorders who require invasive cardiac catheterization or surgery are reviewed.
*Pediatric Arrhythmia Service, Division of Pediatric Cardiology, Department of Pediatrics, The Children's Hospital at Montefiore and The Albert Einstein College of Medicine, Bronx
†Pediatric Hematology and Oncology Service, Department of Pediatrics, The Regional Comprehensive Hemophilia Diagnostic and Treatment Center, NY Presbyterian Hospital, Weill Cornell Medical Center, NY
No Sources of Financial Support to Report.
Reprints: Robert H. Pass, MD, Pediatric Cardiology, Children's Hospital at Montefiore, 3415 Bainbridge Avenue, Rosenthal 1 Bronx, NY 10467-2490 (e-mail: Pediheart@aol.com).
Received for publication November 2, 2009; accepted March 3, 2010
No Conflicts to Report for Any Researchers.