title: Hybrid operation for combined aortic arch aneurysm and aortic root dilation in a Jehovah's witness patient.
abstract: Aortic surgery for Jehovah's Witness patients with extended aneurysms is challenging. The present report describes a case of a 65-year-old male Jehovah's Witness with aortic aneurysm that extended from the ascending to the transverse aortic arch. Two-stage hybrid operation was performed as follows: ascending aortic replacement with debranching of brachiocephalic artery, followed by extra-anatomic bypass of cervical arteries, and thoracic aortic stent-grafting. The patient fully recovered without complication, and the lowest hemoglobin concentration during the hospital admission was 9.5 g/dL. We conclude that the hybrid procedure was effective in securing a margin of safety for bloodless aortic surgery.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Aomori, Japan.
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Saito
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Aomori, Japan. Electronic address: ikuofuku@cc.hirosaki-u.ac.jp.
authors.forename: Ikuo
authors.initials: I
authors.lastname: Fukuda
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Aomori, Japan.
authors.forename: Kozo
authors.initials: K
authors.lastname: Fukui
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Aomori, Japan.
authors.forename: Masahito
authors.initials: M
authors.lastname: Minakawa
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Aomori, Japan.
authors.forename: Kazuyuki
authors.initials: K
authors.lastname: Daitoku
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Hirosaki University School of Medicine, Aomori, Japan.
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Suzuki
mesh_terms: D000368:Aged; D017545:Aortic Aneurysm, Thoracic / Q000150:complications / Q000601:surgery*; D001018:Aortic Diseases / Q000150:complications / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D004108:Dilatation, Pathologic; D006801:Humans; D033221:Jehovah's Witnesses; D008297:Male; D015607:Stents