Abe Kazuo, Kondoh Haruhiko, Ishida Masaru, Kajiyama Tetsuya, Matsue Hajime, Satoh Hisashi
Department of Anesthesiology, Higashi Takarazuka Satoh Hospital, Takarazuka, Japan.
Kyobu Geka. 2020 Mar;73(3):178-182.
The Jehovah's Witnesses (JW) is well known for declining blood transfusions. Especially, cardiovascular surgery on JW poses unique challenges. We herein report 12 JW emergent cases of Stanford type A acute aortic dissection which underwent graft replacement between 2003 and 2019. Graft replacement of ascending aorta was performed in all cases. Operative time and anesthetic time were 344±100 and 396±109 minutes respectively. The mean intraoperative hemoglobin nadir was 4.9±1.2 g/dl. The postoperative hemoglobin nadir was 6.3 ±2.4 g/dl. There were 2 deaths within 24 hours after surgery. We did not transfuse any packed red blood cells, fresh frozen plasma or platelets for JW patients of Stanford type A acute aortic dissection surgery.
