Ligature of external carotid artery as an optional technique in a patient with von Willebrand disease.
The von Willebrand disease (vWD) is a hereditary coagulopathy. There is no gender predilection. Clinically characterized by mucocutaneous bleeding, especially nose bleeding, menorrhagia and bleeding after trauma. This article reports a case of a 52-year-old Caucasian male patient with vWD, who presented with extensive bleeding in the tongue after a lacerating injury caused by accidental biting, and describes some clinical, pathological and treatment aspects of vWD. After repeated attempts to suture the wound and replace clotting factors, a decision was made to perform the ligature of the external carotid artery ipsilateral to the injury. There was favorable resolution of the case, with a good aspect of the scar 2 months after ligation. This case reinforces that it is extremely important to make a thorough review of medical history of all patients, searching for possible bleeding disorders or previous family history.
Araçatuba Dental School, Univ. Estadual Paulista, Araçatuba, SP, Brazil. leobucomaxilo@gmail.com
Leonardo Perez
LP
Faverani
Ellen Cristina
EC
Gaetti-Jardim
Gabriel
G
Ramalho-Ferreira
Jessica Lemos
JL
Gulinelli
Thallita Pereira
TP
Queiroz
Idelmo Rangel
IR
Garcia Júnior
D002342:Carotid Artery, External / Q000601:surgery*; D005164:Factor IX / Q000627:therapeutic use; D005169:Factor VIII / Q000627:therapeutic use; D005340:Fibrinogen / Q000627:therapeutic use; D006489:Hemostatic Techniques; D006801:Humans; D022125:Lacerations / Q000150:complications; D008026:Ligation; D008297:Male; D008875:Middle Aged; D006472:Oral Hemorrhage / Q000209:etiology / Q000601:surgery; D013536:Suture Techniques; D014059:Tongue / Q000293:injuries; D014842:von Willebrand Diseases / Q000601:surgery*; D014841:von Willebrand Factor / Q000627:therapeutic use
D014841:von Willebrand Factor; D005169:Factor VIII; D005164:Factor IX; D005340:Fibrinogen