Repair of Massive Stanford Type A Aortic Dissection in a Jehovah’s Witness Using Bloodless Surgery

Refusal of blood product transfusion presents a unique challenge in patients requiring major cardiac surgery. We present a case of a 45-year-old African American female Jehovah’s Witness with a history of aortic dissection who presented to the emergency department with worsening back pain. Imaging r...

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Bibliographic Details
Published in:	The Annals of thoracic surgery Vol. 111; no. 1; pp. e7 - e9
Main Authors:	Rogers, Michael P., Tumpudi, Akhil, Saadé-Yordán, Camila, Hooker, Robert L.
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier Inc 01-01-2021
Subjects:	Aneurysm, Dissecting - classification Aneurysm, Dissecting - surgery Bloodless Medical and Surgical Procedures - methods Female Humans Jehovah's Witnesses Middle Aged Vascular Surgical Procedures - methods
Online Access:	Get full text
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Summary:	Refusal of blood product transfusion presents a unique challenge in patients requiring major cardiac surgery. We present a case of a 45-year-old African American female Jehovah’s Witness with a history of aortic dissection who presented to the emergency department with worsening back pain. Imaging revealed aneurysmal dilatation of her known Stanford type A dissection measuring 10.9 cm. A staged carotid-subclavian bypass followed by aortic valve, ascending aorta, and aortic arch replacement with debranching was performed using a bloodless strategy.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2020.04.113