Ligature of external carotid artery as an optional technique in a patient with von Willebrand disease
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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.
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Hemostasis, von Willebrand disease, von Willebrand factor, blood clotting factor 8, blood clotting factor 9, fibrinogen, case report, external carotid artery, hemostasis, human, injury, laceration, ligation, male, middle aged, oral bleeding, review, suturing method, tongue, Carotid Artery, External, Factor IX, Factor VIII, Fibrinogen, Hemostatic Techniques, Humans, Lacerations, Ligation, Male, Middle Aged, Oral Hemorrhage, Suture Techniques, Tongue, von Willebrand Diseases, von Willebrand Factor
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Inglês
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Brazilian Dental Journal, v. 22, n. 5, p. 435-438, 2011.
