World neurosurgery · 2017
Revascularization Operation for Moyamoya Disease with Concurrent von Willebrand Disease.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Miki Kenji, Arimura Koichi, Nishimura Ataru, Yoshimoto Koji, Sayama Tetsuro, Iihara Koji
Аннотация
BACKGROUND: Although extracranial-intracranial (EC-IC) bypass is an effective treatment strategy for symptomatic moyamoya disease, surgeons need to be cautious regarding the possibility of postoperative hemorrhagic complications in patients with a concurrent coagulation disorder. Here, we describe a case of EC-IC bypass for moyamoya disease concurrent with von Willebrand disease type 1.
CASE DESCRIPTION: Following perioperative replacement of the von Willebrand factor, the patient showed an uneventful and uncomplicated clinical course.
CONCLUSION: This is the first reported case of EC-IC bypass being performed for moyamoya disease in a patient with concurrent von Willebrand disease. We emphasize the importance of appropriate management with replacement of the von Willebrand factor during the perioperative period to avoid hemorrhagic complications.
CASE DESCRIPTION: Following perioperative replacement of the von Willebrand factor, the patient showed an uneventful and uncomplicated clinical course.
CONCLUSION: This is the first reported case of EC-IC bypass being performed for moyamoya disease in a patient with concurrent von Willebrand disease. We emphasize the importance of appropriate management with replacement of the von Willebrand factor during the perioperative period to avoid hemorrhagic complications.
Предметные рубрики MeSH
AdultCerebral AngiographyCerebral RevascularizationCoagulantsFactor VIIIFemaleHumansMagnetic Resonance AngiographyMagnetic Resonance ImagingMiddle Cerebral ArteryMoyamoya DiseasePostoperative HemorrhageTemporal ArteriesTomography, Emission-Computed, Single-Photonvon Willebrand Disease, Type 1von Willebrand Factor