title: Resection of a large atrial hemangioma using a bloodless surgical technique: a case report.
abstract: We present a biatrial hemangioma in a Jehovah's Witness patient. Hemangioma is extremely rare, accounting for 1% to 2% of benign cardiac tumors. Complete resection of a large hemangioma is mandatory due to its potentially life-threatening risk. In Jehovah's Witness patients, it is necessary to employ bloodless surgery protocols to maximize the patient's outcome. Our patient had undergone 6 weeks of monitoring and erythropoietin therapy prior to surgery, raising her hemoglobin level from 11.6 g/dL to 16.8 g/dL. Intraoperative bloodless surgical protocols as well as a continuous blood circuit were utilized. The patient's hemoglobin level on postoperative day one was 14.5 g/dL; one year postsurgery, the patient was symptom free.
authors.affiliation: Department of Surgery, Pennsylvania Hospital, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania 19104, USA.
authors.forename: Dapeng
authors.initials: D
authors.lastname: Fan
authors.forename: Charles
authors.initials: C
authors.lastname: Yarnall
authors.forename: John L
authors.initials: JL
authors.lastname: Parmet
authors.forename: Robert B
authors.initials: RB
authors.lastname: Norris
authors.forename: Alice B
authors.initials: AB
authors.lastname: Isidro
authors.forename: Mary B
authors.initials: MB
authors.lastname: Maher
authors.forename: Charles R
authors.initials: CR
authors.lastname: Bridges
mesh_terms: D000368:Aged; D005260:Female; D006325:Heart Atria / Q000601:surgery; D006338:Heart Neoplasms / Q000601:surgery*; D006391:Hemangioma / Q000601:surgery*; D006801:Humans; D033221:Jehovah's Witnesses; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000379:methods*