• Cir Cir · Jan 2008

    Case Reports

    [Adjunct use of NovoSeven (recombinant factor VIIa) for penetrating cardiac trauma].

    • Luis Manuel García-Núñez, Luis Enrique Soto-Ortega, Ruy Cabello-Pasini, Luis Enrique Payró-Hernández, and Ignacio Javier Magaña-Sánchez.
    • Subsección de Cirugía del Trauma, Departamento de Cirugía, Hospital Central Militar, Secretaría de la Defensa Nacional, México, D.F., Mexico. lmgarcian@hotmail.com
    • Cir Cir. 2008 Jan 1;76(1):95-8.

    BackgroundUncontrolled bleeding leads to 40-86% of preventable deaths due to trauma. Use of NovoSeven (rFVIIa) in trauma is promising, although data supporting its utilization are limited.Case ReportWe report the case of a patient who sustained a penetrating grade V cardiac injury (AAST-OIS) and presented postoperative massive coagulopathic bleeding arrested by the administration of platelet pools and NovoSeven.DiscussionThis report represents our initial experience and the very first case of successful use of NovoSeven for the treatment of traumatic coagulopathic hemorrhage at the Central Military Hospital in Mexico City. A further prospective trial justifying its use in our institution is warranted.

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