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

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FapUNIFESP (SciELO)

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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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Inglês

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Brazilian Dental Journal, v. 22, n. 5, p. 435-438, 2011.

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Araçatuba, Faculdade de Odontologia - FOA
FOA
Campus: Araçatuba

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