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Staged repair for a chronic dissecting thoracic aortic aneurysm with no transfusion in a Jehovah's Witness patient.
Kadohama, Takayuki; Akasaka, Nobuyuki; Sasajima, Tadahiro; Goh, Kazutomo; Azuma, Nobuyoshi; Inaba, Masashi.
Afiliação
  • Kadohama T; Department of Surgery, Midorigaoka 2-1-1, Asahikawa, Hokkaido 078-8510, Japan.
Gen Thorac Cardiovasc Surg ; 55(6): 262-5, 2007 Jun.
Article em En | MEDLINE | ID: mdl-17642283
ABSTRACT
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.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aneurisma da Aorta Torácica / Testemunhas de Jeová / Dissecção Aórtica Limite: Humans / Male / Middle aged Idioma: En Revista: Gen Thorac Cardiovasc Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Japão
Buscar no Google
Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Aneurisma da Aorta Torácica / Testemunhas de Jeová / Dissecção Aórtica Limite: Humans / Male / Middle aged Idioma: En Revista: Gen Thorac Cardiovasc Surg Assunto da revista: ANGIOLOGIA / CARDIOLOGIA Ano de publicação: 2007 Tipo de documento: Article País de afiliação: Japão
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