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

• Autor(a) principal: Faverani, Leonardo Perez [UNESP]
• Data de Publicação: 2011
• Outros Autores: Gaetti-Jardim, Ellen Cristina [UNESP], Ramalho-Ferreira, Gabriel [UNESP], Gulinelli, Jessica Lemos [UNESP], Queiroz, Thallita Pereira [UNESP], Garcia Júnior, Idelmo Rangel [UNESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://dx.doi.org/10.1590/S0103-64402011000500015; http://hdl.handle.net/11449/72755
• topic: 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

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.