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Closure of a ventricular septal defect in a patient with von Willebrand disease

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Abstract

Few reports of open heart surgery being performed in patients with von Willebrand disease (vWD) have been documented. We describe, herein the case of a 5-year-old girl with a ventricular septal defect (VSD) and vWD who underwent patch closure under cardiopulmonary bypass (CPB). The hematological parameters relating to vWD, namely, factor VIII, von Willebrand factor, and factor VIII-related antigen were monitored perioperatively. These laboratory findings were elevated after the termination of CPB, and consistently maintained within the normal range for 4 months postoperatively. The operation was successfully completed without the administration of factor VIII concentrates or homologous blood products.

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References

  1. Aris A, Pisciotta AV, Hussey CV, Gale H, Lepley D (1975) Open-heart surgery in von Willebrand's disease. J Thorac Cardiovasc Surg 69:183–187

    CAS  PubMed  Google Scholar 

  2. Chun PKC, Flannery EP, Bowen TE (1983) Open-heart surgery in patients with hematologic disorders. Am Heart J 105:835–842

    Article  CAS  PubMed  Google Scholar 

  3. Komp DM, Sparrow AW (1970) Polycythemia in cyanotic heart disease; a study of altered coagulation. J Pediatr 76:231–236

    CAS  PubMed  Google Scholar 

  4. Ekert H, Gilchrist GS, Stanson R, Hammond D (1970) Hemostasis in cyanotic congenital heart disease. J Pediatr 76:221–230

    CAS  PubMed  Google Scholar 

  5. Kontras SB, Sirak HD, Newton Jr WA, (1966) Hematologic abnormalities in children with congenital heart disease. JAMA 195:611–615

    Article  CAS  PubMed  Google Scholar 

  6. de Leval MR, Taswell HF, Bowie EJW, Danielson GK (1974) Open heart surgery in patients with inherited hemoglobinopathies, red cell dyscrasias, and coagulopathies. Arch Surg 109:618–622

    Google Scholar 

  7. Harker LA (1987) Acquired disorders of platelet function. Ann NY Acad Sci 509:188–204

    CAS  PubMed  Google Scholar 

  8. O'Brien JR (1990) Shear-induced platelet aggregation. Lancet 335:711–713

    PubMed  Google Scholar 

  9. Shimizu H, Katogi T, Kato Y, Katda Y, Takeuchi S, Kawada S (1995) A case of acquired von Willebrand disease due to pulmonary stenosis after Jaten's operation (in Japanese with English abstract). Nippon Kyoubugeka Gakkai Zasshi (J Jpn Assoc Thorac Surg) 43:260–264

    CAS  Google Scholar 

  10. Turner-Gomes SO, Andrew M, Coles J Trusler GA, Williams WG, Rabinovitch M (1992) Abrnormalities in von Willebrand factor and antithrombin III after cardiopulmonary bypass operations for congenital, heart disease. J Thorac Cardiovasc Surg 103:87–97

    CAS  PubMed  Google Scholar 

  11. Dennis LH, Stewart JL, Conrad ME (1967) Heparin treatment of haemorrhagic diathesis in cyanotic congenital heart disease. Lancet 1:1088–1089

    CAS  PubMed  Google Scholar 

  12. Andersson TLG, Solem JO, Tengborn L, Vinge E (1990) Effects of desmopressin, acetate on platelet aggregation, von Willebrand factor, and blood loss after cardiac surgery with extracorporeal circulation. Circulation 81:872–878

    CAS  PubMed  Google Scholar 

  13. Valen G, Blomback M, Selli P, Lindblom D Vaage J (1994) Release of von Willebrand factor by cardiopulmonary bypass, but not by cardioplegia in open heart surgery. Thromb Res 73:21–29

    Article  CAS  PubMed  Google Scholar 

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Tatebe, S., Kanazawa, H., Yamazaki, Y. et al. Closure of a ventricular septal defect in a patient with von Willebrand disease. Surg Today 27, 661–663 (1997). https://doi.org/10.1007/BF02388226

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  • DOI: https://doi.org/10.1007/BF02388226

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