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

• Autor(a) principal: Faverani,Leonardo Perez
• Data de Publicação: 2011
• Outros Autores: Gaetti-Jardim,Ellen Cristina, Ramalho-Ferreira,Gabriel, Gulinelli,Jessica Lemos, Queiroz,Thallita Pereira, Garcia Júnior,Idelmo Rangel
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Brazilian Dental Journal
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-64402011000500015
• topic: von Willebrand disease; von Willebrand factor; hemostasis

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.