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Perioperative Management of Type 2N Von Willebrand’s Disease with Recombinant Factor VIII in a Patient Undergoing Knee-Replacement Surgery
Author(s) -
Srivasavi Dukka,
David Allsup
Publication year - 2013
Publication title -
case reports in hematology
Language(s) - English
Resource type - Journals
eISSN - 2090-6560
pISSN - 2090-6579
DOI - 10.1155/2013/837906
Subject(s) - medicine , desmopressin , bleeding diathesis , von willebrand disease , von willebrand factor , perioperative , recombinant dna , surgery , diathesis , bleeding time , hemostasis , platelet , immunology , biochemistry , chemistry , platelet aggregation , gene
Type 2N Von Willebrand's disease (2N VWD) is a rare, recessively inherited bleeding disorder, comprising 1-2% of all VWD patients, usually manifesting as a mild bleeding diathesis. Treatment includes desmopressin (DDAVP) or intermediate purity plasma-derived FVIII concentrates containing residual VWF. We present a case of a 75-year-old gentleman, incidentally diagnosed with type 2N VWD in 2002 on routine blood testing before surgery with an ISTH bleeding score of 1-2, who was treated with recombinant FVIII preoperatively.

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