An Integrated Approach to von Willebrand Disease and Surgical Myocardial Revascularization

Cardiac surgery in patients with preexisting bleeding disorders can be a challenge. Cardiopulmonary bypass can lead to bleeding disorders, above all in patients with coagulopathy. We report the case of a 42-year-old woman, with type I von Willebrand disease, who underwent off-pump coronary artery by...

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Detalles Bibliográficos
Autores principales: Jiritano, Federica, Cristodoro, Lucia, Bevacqua, Egidio, Malta, Emanuele, Mastroroberto, Pasquale
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2015
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4670304/
https://www.ncbi.nlm.nih.gov/pubmed/26693126
http://dx.doi.org/10.1055/s-0035-1564065
Descripción
Sumario:Cardiac surgery in patients with preexisting bleeding disorders can be a challenge. Cardiopulmonary bypass can lead to bleeding disorders, above all in patients with coagulopathy. We report the case of a 42-year-old woman, with type I von Willebrand disease, who underwent off-pump coronary artery bypass grafting. Beating heart surgery associated with an adequate replacement of von Willebrand factor and factor VIII levels were chosen to prevent bleeding disorders. Her postoperative course was uneventful and she was discharged home after 5 postoperative days.

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