Abstract
ABSTRACT To the Editor.— The article on Aortic Valve Replacement in Hemophilia by Brockman and associates (222:660, 1970) is of special interest to me since I studied this patient in 1963, which enables me to supply additional information. His early medical history was not typical of hemophilia. Severe nosebleeds occurred in childhood, which is rare in uncomplicated hemophilia. At age 9 years, he fell and sustained an injury to his chest that resulted in severe epistaxis and hematemesis. At that time he was told by his physician that he had an infection around the heart. At the age of 28 years, he bled for four weeks after a tooth extraction, despite treatment with a whole blood transfusion, snake venom, thrombin, ascorbic acid, and rutin. The diagnosis of hemophilia was made at the Michael Reese Hospital when he was 39 years old. I confirmed this diagnosis three years later and found that
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