Document Detail


Hypertrophic obstructive cardiomyopathy, bleeding history, and acquired von Willebrand syndrome: response to septal myectomy.
MedLine Citation:
PMID:  21364113     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Bleeding with severe aortic stenosis is linked to acquired von Willebrand syndrome and loss of high-molecular-weight multimers of von Willebrand factor. Valve replacement resolves bleeding tendency and loss of high-molecular-weight multimers. We report outcomes in 5 patients with symptomatic obstructive hypertrophic cardiomyopathy and spontaneous gastrointestinal, mucosal, or excessive postsurgical bleeding in whom acquired von Willebrand syndrome was documented. All 5 patients underwent surgical septal myectomy with resolution of acquired von Willebrand syndrome.
Authors:
Joseph L Blackshear; Hartzell V Schaff; Steve R Ommen; Dong Chen; William L Nichols
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Mayo Clinic proceedings. Mayo Clinic     Volume:  86     ISSN:  1942-5546     ISO Abbreviation:  Mayo Clin. Proc.     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-03-02     Completed Date:  2011-05-31     Revised Date:  2011-09-13    
Medline Journal Info:
Nlm Unique ID:  0405543     Medline TA:  Mayo Clin Proc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  219-24     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiovascular Diseases, Mayo Clinic, Jacksonville, FL 32224, USA. blackshear.joseph@mayo.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cardiomyopathy, Hypertrophic / complications*,  surgery*
Female
Gastrointestinal Hemorrhage / etiology*,  therapy
Heart Septum / surgery*
Humans
Male
Middle Aged
Postoperative Complications
Treatment Outcome
von Willebrand Diseases / etiology*,  surgery*
Comments/Corrections
Comment In:
Mayo Clin Proc. 2011 Mar;86(3):181-2   [PMID:  21364110 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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