Successful Aortic Aneurysm Repair in a Woman with Severe von Willebrand (Type 3) Disease

Autor: Victoria Campbell, Kevin Marriott, Rex Stanbridge, Abdul Shlebak
Jazyk: angličtina
Rok vydání: 2015
Předmět:
Zdroj: Case Reports in Hematology, Vol 2015 (2015)
Druh dokumentu: article
ISSN: 2090-6560
2090-6579
DOI: 10.1155/2015/703803
Popis: von Willebrand disease type 3 (VWD3) is a rare but the most severe form of von Willebrand disease; it is due to almost complete lack of von Willebrand factor activity (VWF:RCo). It is inherited as autosomal recessive trait; whilst heterozygote carriers have mild, or no symptoms, patients with VWD3 show severe bleeding symptoms. In the laboratory, this is characterised by undetectable VWF:Ag, VWF:RCo, and reduced levels of factor VIII < 0.02 IU/dL. The bleeding is managed with von Willebrand/FVIII factor concentrate replacement therapy. In this rare but challenging case we report on the successful excision and repair of an ascending aortic aneurysm following adequate VWF/FVIII factor concentrate replacement using Haemate-P.
Databáze: Directory of Open Access Journals