RESUMO
More and more children, and even more so adolescents, undergo procedures pertaining to the category of aesthetic surgery and mainly aiming to improve the patient's physical appearance. There is a broad spectrum of possible operations ranging from purely cosmetic procedures to operations with a medical indication.
Assuntos
Menores de Idade/legislação & jurisprudência , Procedimentos de Cirurgia Plástica/ética , Procedimentos de Cirurgia Plástica/legislação & jurisprudência , Adolescente , Pré-Escolar , Orelha Externa/anormalidades , Orelha Externa/cirurgia , Ética Médica , Alemanha , Humanos , Consentimento Informado por Menores/legislação & jurisprudência , Consentimento Informado por Menores/psicologia , Cobertura do Seguro/legislação & jurisprudência , Menores de Idade/psicologia , Programas Nacionais de Saúde/legislação & jurisprudência , Consentimento dos Pais/legislação & jurisprudência , Consentimento dos Pais/psicologia , Autonomia Pessoal , Procedimentos de Cirurgia Plástica/psicologiaRESUMO
Reduction ascending aortoplasty has been advocated as a possible alternative to traditional graft replacement for treatment of aneurysms of the ascending aorta and root. We report a case of a 58-year-old Jehovah's Witness female, with a 5.5-cm ascending aortic aneurysm and critical aortic stenosis. She underwent aortic valve replacement and reduction aortoplasty buttressed with a Dacron graft. We reviewed the history and contemporary applications of this technique and concluded that aortic reduction with externally supported aortoplasty may represent a viable option to treat Jehovah's Witness patients with ascending aorta and root aneurysm.