Transposition of Great Arteries and Ventricular Septal Defect in Jehovah's Witnesses.
- Author:
Yang Bin JEON
1
;
Seog Ki LEE
;
Jun Yong CHO
;
Man Jong BAEK
;
Soon Ho CHUN
;
Soo Cheol KIM
;
Ook Seong KIM
;
Chang Ha LEE
;
Sam Sae OH
;
Chan Young NAH
;
Young Tak LEE
;
Woong Han KIM
Author Information
1. Department of Cardiothoracic surgery, Sej ong Heart Institute, Sej ong General Hospital, Puchon city, Korea. woonghan@thrunet.com
- Publication Type:Case Report
- Keywords:
Transposition of great vessels;
Jehovah 's Witnesses;
Arterial switch operation
- MeSH:
Aprotinin;
Diagnosis;
Echocardiography;
Erythropoietin;
Heart Defects, Congenital;
Heart Septal Defects, Ventricular*;
Hemostasis;
Humans;
Infant;
Jehovah's Witnesses*;
Parents;
Transposition of Great Vessels*;
Ultrafiltration
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2001;34(3):243-245
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
An infant having parents of Jehovah s Witnesses was 4 months old and 5.6 kg in weight. Echocardiographic diagnosis was complete transposition of great arteries(TGA), ventricular septal defect(VSD), atrial septal defect(ASD), patent ductus arteriosus(PDA), and bilateral superior vena cava(SVC). The preoperative hemoglobin level was 14.9 g/dl. We performed an arterial switch operation(ASO) with VSD closure without transfusion and he was discharged uneventfully 16 days after the operation. At that time the hemoglobin level was 12.8 g/dl. We report that we could successfully correct the complex congenital heart disease without transfusion by the combined use of erythropoietin and aprotinin, intraoperative meti-culous hemostasis, and postbypass ultrafiltration.