为一名耶和华见证人患者行分期开胸手术治疗二叶式主动脉瓣反流和主动脉缩窄。
Staged open surgery for bicuspid aortic valve regurgitation and coarctation of the aorta in a Jehovah's witness.
机构信息
Department of Cardiovascular Surgery, IMS Tokyo Katsushika General Hospital, 4-18-1, Nishishinkoiwa, Katsushika-ku, Tokyo, 124-0025, Japan.
Department of Cardiovascular Surgery, Seiyu Memorial Hospital, Wakayama, Japan.
出版信息
BMC Cardiovasc Disord. 2020 May 11;20(1):216. doi: 10.1186/s12872-020-01507-z.
BACKGROUND
Jehovah's Witnesses refuse allogeneic blood transfusions, which makes cardiovascular surgery challenging. Surgeons must minimize blood and fluid loss within one procedure.
CASE PRESENTATION
We herein describe a 17-year-old male Jehovah's Witness with bicuspid aortic valve regurgitation and coarctation of the aorta. The procedures were performed in the following order: aortic valve replacement combined with Nick's aortic root enlargement, right axillary artery-bilateral external iliac artery bypass, and distal arch-descending aorta bypass.
CONCLUSIONS
Axillary artery-bilateral external iliac artery bypass maintained distal perfusion and reduced the amount of heparin during distal arch-descending aorta bypass surgery.
背景
耶和华见证会拒绝异体输血，这使得心血管手术极具挑战性。外科医生必须在一次手术中尽量减少血液和液体的流失。
病例介绍
我们在此描述了一位 17 岁的男性耶和华见证会会员，他患有二叶式主动脉瓣反流和主动脉缩窄。手术按以下顺序进行：主动脉瓣置换术联合尼克氏主动脉根部扩大术、右腋动脉-双侧髂外动脉旁路术和降主动脉远段-降主动脉旁路术。
结论
腋动脉-双侧髂外动脉旁路术维持了远段灌注，并减少了降主动脉远段-降主动脉旁路术期间肝素的用量。
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