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Case Reports
. 2024 Jun 4;2024(6):rjae395.
doi: 10.1093/jscr/rjae395. eCollection 2024 Jun.

Von Willebrand's disease in breast surgery: case report

Lina Rodríguez  1 , Martha Monroy  2 , Marco E Guerrero  3 , Natalia Villarroya  4
Affiliations
Case Reports

Von Willebrand's disease in breast surgery: case report

Lina Rodríguez et al. J Surg Case Rep. .

Erratum in

Abstract

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.

Keywords: Von Willebrand disease; blood disorders; breast surgery; explantation.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
Patient 56 years old with breast implants of 16 years with bilateral breast ptosis; patient is classified with a type I VWD, non-bleeding genotype, due to an antigen/cofactor ratio > 0.6.
Figure 2
Figure 2
Preoperative marking detailing the distance of the right nipple areola complex: 23.5 cm left 25 cm and point A marked at 17 cm bilaterally under wise pattern.
Figure 3
Figure 3
Postoperative 6-month breast explantation + autologous reconstruction without complications; left breast with hybrid technique.
See this image and copyright information in PMC

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