Staged open surgery for bicuspid aortic valve regurgitation and coarctation of the aorta in a Jehovah’s witness

BACKGROUND: Jehovah’s Witnesses refuse allogeneic blood transfusions, which makes cardiovascular surgery challenging. Surgeons must minimize blood and fluid loss within one procedure. CASE PRESENTATION: We herein describe a 17-year-old male Jehovah’s Witness with bicuspid aortic valve regurgitation...

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Autores principales: Sumi, Kohei, Yoshida, Shigehiko, Okamura, Yoshitaka, Nakamura, Tomokazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216518/
https://www.ncbi.nlm.nih.gov/pubmed/32393237
http://dx.doi.org/10.1186/s12872-020-01507-z
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author Sumi, Kohei
Yoshida, Shigehiko
Okamura, Yoshitaka
Nakamura, Tomokazu
author_facet Sumi, Kohei
Yoshida, Shigehiko
Okamura, Yoshitaka
Nakamura, Tomokazu
author_sort Sumi, Kohei
collection PubMed
description BACKGROUND: Jehovah’s Witnesses refuse allogeneic blood transfusions, which makes cardiovascular surgery challenging. Surgeons must minimize blood and fluid loss within one procedure. CASE PRESENTATION: We herein describe a 17-year-old male Jehovah’s Witness with bicuspid aortic valve regurgitation and coarctation of the aorta. The procedures were performed in the following order: aortic valve replacement combined with Nick’s aortic root enlargement, right axillary artery–bilateral external iliac artery bypass, and distal arch–descending aorta bypass. CONCLUSIONS: Axillary artery–bilateral external iliac artery bypass maintained distal perfusion and reduced the amount of heparin during distal arch–descending aorta bypass surgery.
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spelling pubmed-72165182020-05-18 Staged open surgery for bicuspid aortic valve regurgitation and coarctation of the aorta in a Jehovah’s witness Sumi, Kohei Yoshida, Shigehiko Okamura, Yoshitaka Nakamura, Tomokazu BMC Cardiovasc Disord Case Report BACKGROUND: Jehovah’s Witnesses refuse allogeneic blood transfusions, which makes cardiovascular surgery challenging. Surgeons must minimize blood and fluid loss within one procedure. CASE PRESENTATION: We herein describe a 17-year-old male Jehovah’s Witness with bicuspid aortic valve regurgitation and coarctation of the aorta. The procedures were performed in the following order: aortic valve replacement combined with Nick’s aortic root enlargement, right axillary artery–bilateral external iliac artery bypass, and distal arch–descending aorta bypass. CONCLUSIONS: Axillary artery–bilateral external iliac artery bypass maintained distal perfusion and reduced the amount of heparin during distal arch–descending aorta bypass surgery. BioMed Central 2020-05-11 /pmc/articles/PMC7216518/ /pubmed/32393237 http://dx.doi.org/10.1186/s12872-020-01507-z Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Sumi, Kohei
Yoshida, Shigehiko
Okamura, Yoshitaka
Nakamura, Tomokazu
Staged open surgery for bicuspid aortic valve regurgitation and coarctation of the aorta in a Jehovah’s witness
title Staged open surgery for bicuspid aortic valve regurgitation and coarctation of the aorta in a Jehovah’s witness
title_full Staged open surgery for bicuspid aortic valve regurgitation and coarctation of the aorta in a Jehovah’s witness
title_fullStr Staged open surgery for bicuspid aortic valve regurgitation and coarctation of the aorta in a Jehovah’s witness
title_full_unstemmed Staged open surgery for bicuspid aortic valve regurgitation and coarctation of the aorta in a Jehovah’s witness
title_short Staged open surgery for bicuspid aortic valve regurgitation and coarctation of the aorta in a Jehovah’s witness
title_sort staged open surgery for bicuspid aortic valve regurgitation and coarctation of the aorta in a jehovah’s witness
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7216518/
https://www.ncbi.nlm.nih.gov/pubmed/32393237
http://dx.doi.org/10.1186/s12872-020-01507-z
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