Anesthesia management of a Jehovah's Witness patient with pheochromocytoma undergoing off pump coronary artery bypass graft surgery--acase report.
Concomitant coronary artery disease (CAD) and pheochromocytoma are rare. Patients with advanced CAD requiring coronary artery bypass graft (CABG) surgery and clinically active pheochromocytoma present a challenge to anesthesiologists. The risk is much higher if the patient is an anemic Jehovah's Witness because these patients refuse to receive blood or blood products, even when faced with a life-threatening hemorrhage. To our knowledge, this is the first case to describe the anesthetic management of an anemic Jehovah's Witness patient with pheochromocytoma presenting for off-pump CABG surgery.
Kaddoum
Roland N
RN
Department of Anesthesiology, Wayne State University/The Detroit Medical Center, Room 2901; 2-Hudson, 3990 John R, Detroit, MI 48201, USA. rolandkaddoum@yahoo.com
Yu
Joe
J
Wang
Hong
H
Chidiac
Elie J
EJ
D000310:Adrenal Gland Neoplasms / Q000150:complications*; D000740:Anemia / Q000150:complications; D000758:Anesthesia / Q000379:methods*; D047549:Coronary Artery Bypass, Off-Pump; D003324:Coronary Artery Disease / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D033221:Jehovah's Witnesses; D008875:Middle Aged; D010673:Pheochromocytoma / Q000150:complications*