Surgical Treatment of Arteriovenous Malformation in a Patient With Human Immunodeficiency Virus Infection and Hemophilia A: Case Report

This case illustrates surgical treatment of an arteriovenous malformation (AVM) in a patient with hemophilia A also infected with human immunodeficiency virus (HIV). A 31-year-old man was admitted to our hospital with right parietal intracerebral hemorrhage. He had previously been diagnosed with hemophilia A and HIV. Carotid angiography revealed an AVM. As the hematoma enlarged and clinical symptoms progressed, we resected the hematoma and the AVM while providing supplemental infusion of Factor VIII before, during, and after the operation. The patient did not experience abnormal postoperative bleeding, and he was discharged with mild motor weakness of the left lower extremity. We discuss the surgical indications, risk, and patient management in relation to hemophilia and HIV infection.

Key Words:  Arteriovenous malformation , hemophilia , HIV , coagulation factor VIII