| Anesthesia for Heart Transplantation in a Jehovah,s Witness: A case report. |
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Jin Hyung Kwon, Do Hyun Kwon, Young Rae Cho |
1Department of Anesthesiology, Gil General Hospital, Korea.
2Department of Anesthesiology, College of Medicine, Seoul National University, Seoul, Korea. |
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| Abstract |
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Jehovah,s Witnesses who require operation represent a challenge to the physician because of the patient,s refusal to accept blood transfusion. An orthotopic heart transplantation was succesfully performed in a 40-year old Jehovah,s Witness without use of any blood product. During the operation, cell saver was used for shed blood and aprotinin was administered intravenously. The use of blood conserving methods, meticulous operative technique and brisk postoperative diuresis has added to the efficacy of heart transplantation in this patient. Total postoperative drainage was 860 ml and the lowest hemoglobin level was 11.8 g%. The patient recovered uneventfully and discharged on the 60th postoperative day. |
| Key Words:
Heart; transplantation; Blood; transfusion |
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