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Ann Thorac Surg 2006;81:1114-1116
© 2006 The Society of Thoracic Surgeons

Case report

Acquired von Willebrand Disease Type IIA in Patients with Aortic Valve Stenosis

Kazunori Yoshida, MD a , * , Satoshi Tobe, MD a , Masahito Kawata, MD b

a Department of Cardiovascular and Thoracic Surgery, Akashi Medical Center, Akashi, Japan
b Department of Cardiology, Akashi Medical Center, Akashi, Japan

Accepted for publication January 3, 2005.

* Address correspondence to Dr Yoshida, Department of Cardiovascular and Thoracic Surgery, Akashi Medical Center, Akashi, 743-33 Okubo-cho Yagi, Akashi, 674-0063 Japan (Email: kazu.y-akashi{at}amc1.jp).

The authors report the case of a 72-year-old woman with severe aortic stenosis who had a bleeding tendency develop due to type IIA acquired von Willebrand disease. She underwent aortic valve replacement with a 19-mm Freestyle stentless valve (Medtronic Inc, Minneapolis, MN). The postoperative course was uneventful and the bleeding tendency resolved. A review of this operative case from our institution demonstrated that aortic valve replacement was one of the most effective treatments of this disease, which can be potentially lifesaving.




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