Document Detail

Staged repair for a chronic dissecting thoracic aortic aneurysm with no transfusion in a Jehovah's Witness patient.
MedLine Citation:
PMID:  17642283     Owner:  NLM     Status:  MEDLINE    
We present the case of a 59-year-old male Jehovah's Witness who underwent staged repair for a thoracic aortic aneurysm with no transfusion. The primary operation to replace the distal portion of the aortic arch and left subclavian artery reconstruction were performed. We applied axilla femoral artery temporary external bypass. A second operation was carried out 8 months later. We replaced the descending aorta and reconstructed the intercostal arteries under temporary bypass in the same manner as was done during the previous operation. The blood losses and minimum hemoglobin values during the two operations were 2235 and 13,941 ml, respectively, 8.8 and 5.9 g/dl, respectively. Administration of erythropoietin and a drainage blood recovery device were useful. Surgical repair for a thoracic aortic aneurysm using a temporary bypass is thus considered a viable surgical option in such situations and is important for conducting effective perioperative management.
Takayuki Kadohama; Nobuyuki Akasaka; Tadahiro Sasajima; Kazutomo Goh; Nobuyoshi Azuma; Masashi Inaba
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  General thoracic and cardiovascular surgery     Volume:  55     ISSN:  1863-6705     ISO Abbreviation:  -     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-07-23     Completed Date:  2007-09-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101303952     Medline TA:  Gen Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  262-5     Citation Subset:  IM    
Department of Surgery, Midorigaoka 2-1-1, Asahikawa, Hokkaido 078-8510, Japan.
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MeSH Terms
Aneurysm, Dissecting / surgery*
Aortic Aneurysm, Thoracic / surgery*
Chronic Disease
Jehovah's Witnesses*
Middle Aged

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