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Thorac Cardiovasc Surg Rep 2015; 04(01): 037-039
DOI: 10.1055/s-0035-1564065
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

An Integrated Approach to von Willebrand Disease and Surgical Myocardial Revascularization

Federica Jiritano
1   Department of Cardiac Surgery, Magna Graecia University, Catanzaro, Italy
,
Lucia Cristodoro
1   Department of Cardiac Surgery, Magna Graecia University, Catanzaro, Italy
,
Egidio Bevacqua
1   Department of Cardiac Surgery, Magna Graecia University, Catanzaro, Italy
,
Emanuele Malta
1   Department of Cardiac Surgery, Magna Graecia University, Catanzaro, Italy
,
Pasquale Mastroroberto
1   Department of Cardiac Surgery, Magna Graecia University, Catanzaro, Italy
› Author Affiliations
Further Information

Publication History

15 June 2015

16 July 2015

Publication Date:
18 September 2015 (online)

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Abstract

Cardiac surgery in patients with preexisting bleeding disorders can be a challenge. Cardiopulmonary bypass can lead to bleeding disorders, above all in patients with coagulopathy. We report the case of a 42-year-old woman, with type I von Willebrand disease, who underwent off-pump coronary artery bypass grafting. Beating heart surgery associated with an adequate replacement of von Willebrand factor and factor VIII levels were chosen to prevent bleeding disorders. Her postoperative course was uneventful and she was discharged home after 5 postoperative days.

Keywords

bleeding disorders - coronary artery disease - off-pump bypass surgery
 

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