Successful Surgical Treatment of a Ruptured Abdominal Aortic Aneurysm Without Homologous Blood Transfusion in a Jehovah's Witness: Report of a Case |
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Authors: | Osamu Namura Hiroshi Kanazawa Katsuo Yoshiya Satoshi Nakazawa Yoshihiko Yamazaki |
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Institution: | (1) Department of Cardiovascular Surgery, Niigata City General Hospital, Niigata, Japan, JP |
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Abstract: | We report herein the case of a 47-year-old woman of the Jehovah's Witness faith in whom Y-grafting for a ruptured abdominal
aortic aneurysm was successfully performed without a homologous blood transfusion. We used a Cell Saver (Haemonetics, Braintree,
MA, USA) red cell salvaging device and an aortic occlusion balloon catheter, and performed gentle and minimal dissection during
the operation. Postoperatively, the patient was kept heavily sedated and required hypothermic therapy for only 14 h. We treated
her severe anemia using conventional drugs, including iron and folic acid, and her hemoglobin increased smoothly. Although
her hemoglobin level decreased to 2.8 g/dl during the operation, her postoperative course was uneventful.
Received: November 24, 2000 / Accepted: May 15, 2001 |
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Keywords: | Emergency operation Ruptured abdominal aortic aneurysm Jehovah's Witness |
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