Abstract
Complex cardiac surgery in Jehovah‘s Witness patients can be challenging, especially
if it is a reoperation and the patient has a preexisting bleeding disorder. We operated
on a patient who was declined for percutaneous aortic valve replacement and who required
repeat surgery for aortic valve repeat replacement and root repair. In addition to
being of Jehovah's Witness faith, the patient had chronic thrombocytopenia. We describe
our strategy in managing this situation.
Résumé
La chirurgie cardiaque complexe chez les patients appartenant aux Témoins de Jéhovah
peut être difficile, spécialement s'il s'agit d'une réintervention chez un patient
connu pour un trouble de saignement. Nous avons opéré un patient qui avait été refusé
pour le remplacement d'une valve aortique percutanée et qui avait besoin de répéter
une chirurgie pour le remplacement d'une valve aortique et la réparation de la racine.
En plus d'être un témoin de Jéhovah, le patient avait une thrombocytopénie chronique.
Nous décrivons notre stratégie dans la gestion de cette situation.
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References
- Clinical strategies in the medical care of Jehovah's Witnesses.Am J Med. 2006; 119: 1013-1018
- Redo cardiac surgery in a Jehovah's Witness: the importance of a multidisciplinary approach to blood conservation.Perfusion. 2000; 15: 251-255
- Transcatheter aortic valve replacement: a cardiac surgeon and cardiologist team perspective.Curr Opin Cardiol. 2010; 25: 107-113
- Retrograde autologous priming and allogenic blood transfusion: a meta analysis.Interact Cardiovasc Thorac Surg. 2009; 8: 373-376
- Effect of normothermic versus hypothermic cardiopulmonary bypass on cytokine production and platelet function.J Cardiovasc Surg (Tor). 2000; 41: 819-827
Article info
Publication history
Published online: October 10, 2011
Accepted:
July 16,
2011
Received:
June 10,
2011
Footnotes
See page 869.e8 for disclosure information.
Identification
Copyright
© 2011 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.
