Hanke Jasmin S, Avsar Murat, Haverich Axel, Schmitto Jan D
Department of Cardiac-, Thoracic-, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany.
Thorac Cardiovasc Surg Rep. 2015 Dec;4(1):21-24. doi: 10.1055/s-0035-1564614. Epub 2015 Oct 29.
Left ventricular assist device (LVAD) implantation without the use of any blood products is considered as a challenge. We present a 48-year-old patient (175 cm, 75 kg, body mass index 24.5 kg/m) who was admitted to our clinic due to end-stage heart failure. The patient is a Jehovah's witness. He declined full blood transfusion as well as use of coagulation factors. Therefore, we interdisciplinary decided to implant an LVAD via minimally invasive technique. The patient experienced an uneventful intrahospital stay and was successfully discharged home on his 17th postoperative day, proving that LVAD implantation without blood transfusions is possible by using a minimally invasive technique. This benefits not only Jehovah's witness patients, but also all patients in need of an LVAD.
在不使用任何血液制品的情况下植入左心室辅助装置（LVAD）被认为是一项挑战。我们介绍一位48岁患者（身高175厘米，体重75千克，体重指数24.5千克/米²），因终末期心力衰竭入住我院。该患者是耶和华见证会成员。他拒绝接受全血输血以及凝血因子的使用。因此，我们跨学科团队决定通过微创技术植入LVAD。患者在住院期间病情平稳，术后第17天成功出院，证明通过微创技术不输血植入LVAD是可行的。这不仅使耶和华见证会患者受益，也使所有需要LVAD的患者受益。
