title: Repeat cardiac surgery in a Jehovah's Witness patient with thrombocytopenia.
abstract: Complex cardiac surgery in Jehovah's Witness patients can be challenging, especially if it is a reoperation and the patient has a preexisting bleeding disorder. We operated on a patient who was declined for percutaneous aortic valve replacement and who required repeat surgery for aortic valve repeat replacement and root repair. In addition to being of Jehovah's Witness faith, the patient had chronic thrombocytopenia. We describe our strategy in managing this situation.
authors: Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
authors: Elsayed
authors: E
authors: Elmistekawy
authors: Harry
authors: H
authors: Lapierre
authors: Michael
authors: M
authors: Bourke
authors: Carole
authors: C
authors: Dennie
authors: Marino
authors: M
authors: Labinaz
authors: Marc
authors: M
authors: Ruel
mesh_terms: D000368:Aged; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000208:ethnology / Q000601:surgery*; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D001803:Blood Transfusion / Q000941:ethics*; D006348:Cardiac Surgical Procedures / Q000941:ethics* / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D033221:Jehovah's Witnesses; D008297:Male; D012086:Reoperation / Q000941:ethics* / Q000379:methods; D013921:Thrombocytopenia / Q000150:complications* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014481:United States