title: Coronary stent placement as a bridge to coronary artery bypass surgery in an unstable, anemic Jehovah's Witness patient: a case report and review of bloodless surgery techniques.
abstract: Bloodless cardiac surgery would be optimal for all patients undergoing major or complex heart surgery; however, for Jehovah's Witnesses it involves a religious law and is fundamentally mandated. In this context, we review a case of unstable angina with associated anemia requiring catheterization and definitive intervention in a Jehovah's Witness patient. Coronary stenting to stabilize the acute coronary syndrome is described with definitive total revascularization performed by coronary artery bypass graft surgery after utilizing erythropoietin and aggressive blood conservation techniques.
authors.affiliation: Department of Medicine, Hartford Hospital, CT 06102, USA.
authors.forename: J E
authors.initials: JE
authors.lastname: Dougherty
authors.forename: R C
authors.initials: RC
authors.lastname: Gallagher
authors.forename: J A
authors.initials: JA
authors.lastname: Hirst
authors.forename: M J
authors.initials: MJ
authors.lastname: Rinaldi
authors.forename: J M
authors.initials: JM
authors.lastname: Biskup
authors.forename: R D
authors.initials: RD
authors.lastname: Chamberlain
authors.forename: D
authors.initials: D
authors.lastname: Waters
mesh_terms: D000368:Aged; D000740:Anemia / Q000150:complications; D000789:Angina, Unstable / Q000628:therapy*; D000800:Angioplasty, Balloon; D002835:Christianity; D001026:Coronary Artery Bypass; D003331:Coronary Vessels; D004921:Erythropoietin / Q000008:administration & dosage; D005260:Female; D006801:Humans; D015607:Stents
chemical_list: D004921:Erythropoietin