Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.
Can J Cardiol. 2011 Nov-Dec;27(6):869.e7-8. doi: 10.1016/j.cjca.2011.07.632. Epub 2011 Oct 8.
Complex cardiac surgery in Jehovah's Witness patients can be challenging, especially if it is a reoperation and the patient has a preexisting bleeding disorder. We operated on a patient who was declined for percutaneous aortic valve replacement and who required repeat surgery for aortic valve repeat replacement and root repair. In addition to being of Jehovah's Witness faith, the patient had chronic thrombocytopenia. We describe our strategy in managing this situation.
Jehovah's Witness 患者的复杂心脏手术颇具挑战性,尤其是在再次手术且患者存在既往出血性疾病的情况下。我们为一名患者实施了手术,该患者曾被拒绝行经皮主动脉瓣置换术,且需要再次进行主动脉瓣重复置换和根部修复手术。该患者不仅是 Jehovah's Witness 的信徒,还患有慢性血小板减少症。我们介绍了管理这种情况的策略。