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The Journal of Thoracic and Cardiovascular Surgery, Vol 69, 183-187, Copyright © 1975 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
A Aris, AV Pisciotta, CV Hussey, H Gale and D Lepley
The case is presented of a hemophilia carrier, also affected by von
Willebrand's disease, who underwent aortic valve replacement. The clinical
and laboratory findings of von Willebrand's disease (prolonged bleeding
time, low factor VIII, and abnormal platelet activity) are discussed, and a
protocol for management of patients with low factor VIII levels (such as
hemophilia carriers and subjects with hemophilia A or von Willebrand's
disease) undergoing open-heart surgery is proposed. Our case proves that
corrective cardiac surgery in similar circumstances is feasible so long as
adequate levels of factor VIII are maintained.
ARTICLES
Open-heart surgery in von Willebrand's disease
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The Society of Thoracic Surgeons Blood Conservatio, V. A. Ferraris, S. P. Ferraris, S. P. Saha, E. A. Hessel II, C. K. Haan, B. D. Royston, C. R. Bridges, R. S.D. Higgins, G. Despotis, et al. Perioperative Blood Transfusion and Blood Conservation in Cardiac Surgery: The Society of Thoracic Surgeons and The Society of Cardiovascular Anesthesiologists Clinical Practice Guideline Ann. Thorac. Surg., May 1, 2007; 83(5_Supplement): S27 - S86. [Abstract] [Full Text] [PDF] |
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