Ligature of external carotid artery as an optional technique in a patient with von Willebrand disease

Brazilian Dental Journal

Leonardo Perez Faverani¹  Ellen Cristina Gaetti-jardim¹  Gabriel Ramalho-ferreira¹  Jessica Lemos Gulinelli¹  Thallita Pereira Queiroz¹  Idelmo Rangel Garcia Júnior¹ 

[1] ,Univ. Estadual Paulista Araçatuba Dental School Araçatuba SP ,Brazil

关键词: von Willebrand disease;    von Willebrand factor;    hemostasis;   

DOI  :  10.1590/S0103-64402011000500015

来源: SciELO

【 摘 要 】

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.

【 授权许可】

CC BY   
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