Rodríguez Lina, Monroy Martha, Guerrero Marco E, Villarroya Natalia
Plastic Surgeon, Clínica Portoazul, Barranquilla-Atlántico, 080001, Colombia.
Anesthesiology and Resuscitation, Clínica Portoazul, Barranquilla-Atlántico, 080001, Colombia.
J Surg Case Rep. 2024 Jun 4;2024(6):rjae395. doi: 10.1093/jscr/rjae395. eCollection 2024 Jun.
Von Willebrand disease is an inherited disorder characterized by deficiency of von Willebrand factor, which contributes to platelet adhesion to the endothelium. Patients with coagulation disorders present a challenge at the time of surgery due to the high risk of presenting heavy bleeding within the procedure or postoperative hematomas. We present a case of a 56-year-old woman with Type 1 von Willebrand's disease who was scheduled for breast explantation with autologous reconstruction, due to the presence of long-standing breast implants. The case was satisfactorily managed by a multidisciplinary team formed by plastic surgery, hematology, and anesthesiology, individualizing the management for the patient's case, obtaining good results and a safe procedure.
血管性血友病是一种遗传性疾病，其特征是血管性血友病因子缺乏，该因子有助于血小板黏附于内皮。由于手术过程中出现大出血或术后血肿的风险很高，凝血障碍患者在手术时面临挑战。我们报告一例56岁1型血管性血友病女性患者，因长期存在乳房植入物而计划进行乳房假体取出并自体重建手术。该病例由整形外科、血液科和麻醉科组成的多学科团队进行了满意的处理，针对患者的具体情况进行个体化管理，取得了良好的效果并确保了手术安全。
