breast surgery;
Von Willebrand disease;
explantation;
blood disorders;
D O I:
10.1093/jscr/rjae395
中图分类号:
R61 [外科手术学];
学科分类号:
摘要:
Von Willebrand disease is an inherited disorder characterized by deficiency of von Willebrand factor, which contributes to platelet adhesion to the endothelium. Patients with coagulation disorders present a challenge at the time of surgery due to the high risk of presenting heavy bleeding within the procedure or postoperative hematomas. We present a case of a 56-year-old woman with Type 1 von Willebrand's disease who was scheduled for breast explantation with autologous reconstruction, due to the presence of long-standing breast implants. The case was satisfactorily managed by a multidisciplinary team formed by plastic surgery, hematology, and anesthesiology, individualizing the management for the patient's case, obtaining good results and a safe procedure.
机构:
BloodCtr Wisconsin, Milwaukee, WI USA
Med Coll Wisconsin, Milwaukee, WI 53226 USALund Univ, Dept Hematol & Coagulat Disorders, Skane Univ Hosp, SE-20502 Malmo, Sweden
机构:
Univ Sheffield, Haemostasis Res Grp, Dept Cardiovasc Sci, Fac Med Dent & Hlth, Sheffield S10 2RX, S Yorkshire, EnglandUniv Sheffield, Haemostasis Res Grp, Dept Cardiovasc Sci, Fac Med Dent & Hlth, Sheffield S10 2RX, S Yorkshire, England
Goodeve, A. C.
Rosen, S.
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机构:
Rossix, Molndal, SwedenUniv Sheffield, Haemostasis Res Grp, Dept Cardiovasc Sci, Fac Med Dent & Hlth, Sheffield S10 2RX, S Yorkshire, England
Rosen, S.
Verbruggen, B.
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机构:
Radboud Univ Nijmegen, Med Ctr, Hematol Lab, NL-6525 ED Nijmegen, NetherlandsUniv Sheffield, Haemostasis Res Grp, Dept Cardiovasc Sci, Fac Med Dent & Hlth, Sheffield S10 2RX, S Yorkshire, England