title: Successful use of ECMO in a Jehovah's Witness after complicated re-heart transplant.
abstract: We present a 29-year-old male Jehovah's Witness, who underwent a second orthotopic heart transplantation 20 years after his first transplant. After extubation, the patient aspirated and required support with extracorporeal membrane oxygenation (ECMO). During the period of ECMO support, his hemoglobin decreased to 4.7 mg/dl. The patient was ultimately weaned from ECMO and discharged home. To our knowledge, this is the first reported case of 1) heart retransplantation and 2) rescue with ECMO in a Jehovah's Witness patient.
authors.affiliation: Section of Cardiac and Thoracic Surgery, University of Chicago Medical Center, 5841 South Maryland Ave E500, Chicago, IL 60637, USA. mr2143@gmail.com
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Russo
authors.forename: Aurelie
authors.initials: A
authors.lastname: Merlo
authors.forename: Darwin
authors.initials: D
authors.lastname: Eton
authors.forename: Priyank J
authors.initials: PJ
authors.lastname: Patel
authors.forename: Savitri
authors.initials: S
authors.lastname: Fedson
authors.forename: Allen
authors.initials: A
authors.lastname: Anderson
authors.forename: Atman
authors.initials: A
authors.lastname: Shah
authors.forename: Valluvan
authors.initials: V
authors.lastname: Jeevanandam
mesh_terms: D000328:Adult; D001804:Blood Transfusion, Autologous / Q000379:methods*; D009202:Cardiomyopathies / Q000628:therapy; D002315:Cardiopulmonary Bypass / Q000379:methods; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D016027:Heart Transplantation / Q000379:methods*; D006454:Hemoglobins / Q000378:metabolism; D006801:Humans; D033221:Jehovah's Witnesses; D008297:Male; D012086:Reoperation / Q000379:methods*; D016896:Treatment Outcome; D014462:Ultrafiltration / Q000379:methods
chemical_list: D006454:Hemoglobins