Minimally Invasive Aortic Valve Replacement for Jehovah's Witness
10.4326/jjcvs.43.287
- VernacularTitle:エホバの証人信者に対する小切開大動脈弁置換術の経験
- Author:
Yusuke Irisawa
;
Toshinori Totsugawa
;
Hidenori Yoshitaka
;
Kentaro Tamura
;
Atsuhisa Ishida
;
Genta Chikazawa
;
Norio Mouri
;
Arudo Hiraoka
;
Hiroshi Matsushita
;
Taichi Sakaguchi
- Publication Type:Journal Article
- Keywords:
Jehovah's Witness;
aortic valve replacement;
minimally invasive cardiac surgery
- From:Japanese Journal of Cardiovascular Surgery
2014;43(5):287-290
- CountryJapan
- Language:Japanese
-
Abstract:
A 64-year-old man with a diagnosis of aortic valve stenosis presented with chest pain. The patient is a Jehovah's Witnesses and wanted surgery without blood transfusion. Therefore, we planned minimally invasive aortic valve replacement (MICS AVR) avoiding sternotomy. He underwent aortic valve replacement with a mechanical valve (ATS AP360 20 mm) through a right anterolateral thoracotomy at the fourth intercostal space. The value of hemoglobin was 11.2 g/dl after surgery. He recovered uneventfully and was discharged 17 days after surgery. MICS AVR has the advantage of less risk of bleeding, therefore MICS AVR is useful for Jehovah's Witness patients who refuse blood transfusion.