title: Repair of type A dissection in a Jehovah's Witness with prior cardiac operation.
abstract: As the practice of cardiothoracic surgery continues to evolve in the face of an aging population and increasing comorbidities, patients are being offered options that once may have been considered off limits, often without guidelines or consensus available to guide the surgeon or the patient. A case report of a high-risk aortic procedure is presented to illustrate this conundrum.
authors.affiliation: Department of Cardiothoracic Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York 10467, USA. adeanda@montefiore.org
authors.forename: Abe
authors.initials: A
authors.lastname: DeAnda
authors.forename: Regina
authors.initials: R
authors.lastname: Volman
authors.forename: Bruce D
authors.initials: BD
authors.lastname: Spiess
mesh_terms: D000784:Aortic Dissection / Q000000981:diagnostic imaging / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D002637:Chest Pain / Q000175:diagnosis / Q000209:etiology; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000379:methods*; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D017809:Fatal Outcome; D006801:Humans; D033221:Jehovah's Witnesses; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis; D011859:Radiography; D018570:Risk Assessment