Successful Aortic Aneurysm Repair in a Woman with Severe von Willebrand (Type 3) Disease

von Willebrand disease type 3 (VWD3) is a rare but the most severe form of von Willebrand disease; it is due to almost complete lack of von Willebrand factor activity (VWF:RCo). It is inherited as autosomal recessive trait; whilst heterozygote carriers have mild, or no symptoms, patients with VWD3 s...

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Main Authors: Victoria Campbell, Kevin Marriott, Rex Stanbridge, Abdul Shlebak
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2015/703803
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author Victoria Campbell
Kevin Marriott
Rex Stanbridge
Abdul Shlebak
author_facet Victoria Campbell
Kevin Marriott
Rex Stanbridge
Abdul Shlebak
author_sort Victoria Campbell
collection DOAJ
description von Willebrand disease type 3 (VWD3) is a rare but the most severe form of von Willebrand disease; it is due to almost complete lack of von Willebrand factor activity (VWF:RCo). It is inherited as autosomal recessive trait; whilst heterozygote carriers have mild, or no symptoms, patients with VWD3 show severe bleeding symptoms. In the laboratory, this is characterised by undetectable VWF:Ag, VWF:RCo, and reduced levels of factor VIII < 0.02 IU/dL. The bleeding is managed with von Willebrand/FVIII factor concentrate replacement therapy. In this rare but challenging case we report on the successful excision and repair of an ascending aortic aneurysm following adequate VWF/FVIII factor concentrate replacement using Haemate-P.
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spelling doaj-art-f55b24a728344487afe292b22c8f19d02025-02-03T05:49:37ZengWileyCase Reports in Hematology2090-65602090-65792015-01-01201510.1155/2015/703803703803Successful Aortic Aneurysm Repair in a Woman with Severe von Willebrand (Type 3) DiseaseVictoria Campbell0Kevin Marriott1Rex Stanbridge2Abdul Shlebak3Department of Haematology, Imperial College Healthcare NHS Trust, London W2 1NY, UKDepartment of Haematology, Imperial College Healthcare NHS Trust, London W2 1NY, UKDepartment of Cardiothoracic Surgery, Imperial College Healthcare NHS Trust, London W2 1NY, UKDepartment of Haematology, Imperial College Healthcare NHS Trust, London W2 1NY, UKvon Willebrand disease type 3 (VWD3) is a rare but the most severe form of von Willebrand disease; it is due to almost complete lack of von Willebrand factor activity (VWF:RCo). It is inherited as autosomal recessive trait; whilst heterozygote carriers have mild, or no symptoms, patients with VWD3 show severe bleeding symptoms. In the laboratory, this is characterised by undetectable VWF:Ag, VWF:RCo, and reduced levels of factor VIII < 0.02 IU/dL. The bleeding is managed with von Willebrand/FVIII factor concentrate replacement therapy. In this rare but challenging case we report on the successful excision and repair of an ascending aortic aneurysm following adequate VWF/FVIII factor concentrate replacement using Haemate-P.http://dx.doi.org/10.1155/2015/703803
spellingShingle Victoria Campbell
Kevin Marriott
Rex Stanbridge
Abdul Shlebak
Successful Aortic Aneurysm Repair in a Woman with Severe von Willebrand (Type 3) Disease
Case Reports in Hematology
title Successful Aortic Aneurysm Repair in a Woman with Severe von Willebrand (Type 3) Disease
title_full Successful Aortic Aneurysm Repair in a Woman with Severe von Willebrand (Type 3) Disease
title_fullStr Successful Aortic Aneurysm Repair in a Woman with Severe von Willebrand (Type 3) Disease
title_full_unstemmed Successful Aortic Aneurysm Repair in a Woman with Severe von Willebrand (Type 3) Disease
title_short Successful Aortic Aneurysm Repair in a Woman with Severe von Willebrand (Type 3) Disease
title_sort successful aortic aneurysm repair in a woman with severe von willebrand type 3 disease
url http://dx.doi.org/10.1155/2015/703803
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