title: Successful replacement of aortic valve using a stentless porcine valve in a patient with myelodysplastic syndrome.
abstract: Open heart surgery in patients with myelodysplastic syndrome (MDS) increases the risk of bleeding and infection. We document a 78-year-old female with severe aortic valve stenosis and MDS who underwent aortic valve replacement with stentless porcine prosthesis. Perioperatively, a transfusion of red blood cells (RBCs) and an infusion of granulocyte colony-stimulating factor (G-CSF) were needed for serious erythrocytopenia and leukocytopenia. We did not need a large amount of RBC transfusions in the postoperative course, and no infection was seen postoperatively.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Anjo Kosei Hospital, Anjo, Japan.
authors.forename: Keizo
authors.initials: K
authors.lastname: Tanaka
authors.forename: Shinji
authors.initials: S
authors.lastname: Kanemitsu
authors.forename: Jin
authors.initials: J
authors.lastname: Tanaka
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Suzuki
authors.forename: Toshihiko
authors.initials: T
authors.lastname: Kinoshita
mesh_terms: D000368:Aged; D001024:Aortic Valve Stenosis / Q000097:blood / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D001705:Bioprosthesis; D002315:Cardiopulmonary Bypass; D004906:Erythrocyte Count; D017707:Erythrocyte Transfusion; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications / Q000628:therapy; D007970:Leukopenia / Q000628:therapy; D009190:Myelodysplastic Syndromes / Q000097:blood / Q000150:complications*; D014463:Ultrasonography