Jehovah's Witnesses requiring complex urgent cardiothoracic surgery.
Blood-sparing surgical technique and perioperative medical management allows complex surgery in Jehovah's Witnesses. The authors review four cases of urgent cardiothoracic surgery performed on Jehovah's Witnesses. No lasting sequelae associated with either bleeding or end-organ ischemia were noted. Cardiopulmonary bypass management, meticulous hemostatic operative technique, and pharmacologic support of hemostasis and erythropoiesis permit this complex surgery.
Division of Thoracic and Cardiovascular Surgery, University of Florida College of Medicine, Health Science Center, Gainesville, FL 32610-0286, USA.
Richard L
RL
Holt
Tomas D
TD
Martin
Philip J
PJ
Hess
Thomas M
TM
Beaver
Charles T
CT
Klodell
D000328:Adult; D000368:Aged; D000784:Aortic Dissection / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001014:Aortic Aneurysm / Q000601:surgery; D007611:Aprotinin / Q000627:therapeutic use; D001804:Blood Transfusion, Autologous / Q000295:instrumentation / Q000379:methods; D019917:Blood Vessel Prosthesis Implantation; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000209:etiology; D003131:Combined Modality Therapy; D015897:Comorbidity; D004697:Endocarditis, Bacterial / Q000188:drug therapy / Q000601:surgery; D004921:Erythropoietin / Q000627:therapeutic use; D005260:Female; D006349:Heart Valve Diseases / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006400:Hematocrit; D006438:Hemodilution; D006801:Humans; D007501:Iron / Q000627:therapeutic use; D033221:Jehovah's Witnesses; D008297:Male; D010342:Patient Acceptance of Health Care; D011300:Preoperative Care; D013290:Streptococcal Infections / Q000188:drug therapy / Q000601:surgery; D016312:Treatment Refusal; D034363:Viridans Streptococci
D000900:Anti-Bacterial Agents; D004921:Erythropoietin; D007611:Aprotinin; D007501:Iron