1. Staged open surgery for bicuspid aortic valve regurgitation and coarctation of the aorta in a Jehovah's witness.
- Author
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Sumi K, Yoshida S, Okamura Y, and Nakamura T
- Subjects
- Adolescent, Aortic Coarctation diagnostic imaging, Aortic Coarctation physiopathology, Aortic Valve diagnostic imaging, Aortic Valve physiopathology, Aortic Valve surgery, Aortic Valve Insufficiency diagnostic imaging, Aortic Valve Insufficiency physiopathology, Bicuspid Aortic Valve Disease, Heart Valve Diseases diagnostic imaging, Heart Valve Diseases physiopathology, Humans, Male, Treatment Outcome, Aortic Coarctation surgery, Aortic Valve abnormalities, Aortic Valve Insufficiency surgery, Arterial Switch Operation, Blood Loss, Surgical prevention & control, Heart Valve Diseases surgery, Heart Valve Prosthesis Implantation, Jehovah's Witnesses, Operative Blood Salvage, Religion and Medicine
- Abstract
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.
- Published
- 2020
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