Patient with von Willebrand disease undergoing mitral valve repair: a strategy for the control of the coagulopathy.
We report a case of a 60 year-old woman with von Willebrand disease type I that was submitted to a mitral valve repair. The patient needed special care due coagulopathy and needed VIII factor (VIIIf) and von Willebrand factor (vWf), before, during and after surgery. There was no complication during or after surgery. Patient is asymptomatic nine months postoperatively. The correction of VIIIf and vWf allowed the realization of a safety surgery.
Saroute
Ally Nader Roquetti
AN
Instituto do Coração, Hospital das Clínicas, FM, USP, São Paulo, SP, Brazil. allymed91@hotmail.com
Brandão
Carlos Manuel de Almeida
CM
Guedes
Marco Antônio Vieira
MA
Cavalheiro Filho
Cyrillo
C
Pomerantzeff
Pablo Maria Alberto
PM
D016063:Blood Loss, Surgical / Q000517:prevention & control*; D005260:Female; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D019990:Perioperative Care; D011300:Preoperative Care; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014842:von Willebrand Diseases / Q000188:drug therapy*; D014841:von Willebrand Factor / Q000008:administration & dosage*
D014841:von Willebrand Factor