Repeat Minimally Invasive Mitral Valve Replacement for Recurrent Mitral Stenosis after OMC in Patients Who Decline Blood Product Transfusion for Religious Reasons.

Yujiro Ito,Yoshitsugu Nakamura,Shigehiko Yoshida,Osamu Tagusari

doi:10.1155/2015/239197

Yujiro Ito, Yoshitsugu Nakamura + Show 2 more

Open Access

https://doi.org/10.1155/2015/239197

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Abstract

Cardiac surgery for Jehovah's Witness (JW) patients is considered to be high risk because of patients' refusal to receive blood transfusion. We report a successful mitral valve replacement for recurrent mitral stenosis after OMC with minimally invasive right thoracotomy, without any transfusion of allogeneic blood or blood products. This minimally invasive mitral valve replacement through right thoracotomy was an excellent approach for JW patients.

Highlights

The invasive nature of cardiac surgery and the use of CPB may lead to blood loss that may require several blood transfusions during the procedure
Low need for blood transfusion, and absence of sternal wound infection are the main advantages of minimally invasive cardiac surgery (MICS)
We report a successful second complex cardiac operation following an open mitral commissurotomy without any transfusion of allogeneic blood or blood products in two female Jehovah’s Witness patients with MICS

Summary

Introduction

The invasive nature of cardiac surgery and the use of CPB may lead to blood loss that may require several blood transfusions during the procedure. Cardiac surgery for a Jehovah’s Witness patient is considered to be high risk because of the patient’s refusal to receive blood transfusion [1]. Low need for blood transfusion, and absence of sternal wound infection are the main advantages of minimally invasive cardiac surgery (MICS). We report a successful second complex cardiac operation following an open mitral commissurotomy without any transfusion of allogeneic blood or blood products in two female Jehovah’s Witness patients with MICS

Case Presentation

Discussion