title: [Clinical Outcomes of Cardiovascular Surgery in Jehovah's Witness Patients].
abstract: Cardiovascular surgery in Jehovah's Witness is challenging for surgeons on the ground that they refuse blood transfusion. We report 11 cases of cardiovascular surgery. All of the patients underwent elective surgery with cardiopulmonary bypass. Two cases underwent minimally invasive procedures. The mean preoperative hemoglobin level was 13.0 g/dl, and hematopoietic medicines were preoperatively administrated in 4 patients. Although 10 patients recovered satisfactory without blood transfusion, 1 surgical case was lost due to uncontrollable postoperative bleeding. The clinical outcomes of the Jehovah's Witness patients are considered to be satisfactory. However, careful indication is recommended in high risk cases.
authors.affiliation: Department of Cardiovascular and Gastroenterological Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
authors.forename: Kosuke
authors.initials: K
authors.lastname: Mukaihara
authors.forename: Masafumi
authors.initials: M
authors.lastname: Yamashita
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Toyohira
authors.forename: Goichi
authors.initials: G
authors.lastname: Yotsumoto
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Fukumoto
authors.forename: Takayuki
authors.initials: T
authors.lastname: Ueno
authors.forename: Kazuhisa
authors.initials: K
authors.lastname: Matsumoto
authors.forename: Yukinori
authors.initials: Y
authors.lastname: Moriyama
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Imoto
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D013504:Cardiovascular Surgical Procedures; D005260:Female; D006801:Humans; D033221:Jehovah's Witnesses; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D055815:Young Adult