Breast augmentation in the patient with von Willebrand disease.

Ramasastry, Sai S; Chen, Yi-Hsiang; Morris, David E · Aesthet Surg J · 2006

case_report · Level V

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Abstract

The authors describe breast augmentation in a patient with von Willebrand disease (vWD), providing a template for treating such patients. Because there is no single ideal laboratory test predictive of surgical bleeding, preoperative history remains the most important diagnostic tool. A vigilant pursuit of signs of undiagnosed vWD or other coagulopathy in the preoperative patient may prevent unexpected intraoperative or postoperative hemorrhage.