Bloodless Orthotopic Heart Transplantation in a Jehovah's Witness.
Published
Journal Article
We present the case of a 53-year-old female Jehovah's Witness with nonischemic cardiomyopathy who successfully underwent a bloodless heart transplantation using fibrinogen concentrate (RiaSTAP; CSL Behring, King of Prussia, PA) and other blood-conservation methods. With a multidisciplinary team and the use of preoperative erythropoietin-stimulating drugs, normovolemic hemodilution, cell salvage, and pharmacotherapy to prevent and treat coagulopathy, we were able to maintain hemoglobin levels greater than 11 g/dL without the need for blood transfusion. We conclude that orthotopic heart transplants may be performed successfully in select Jehovah's Witness patients using standard and novel blood conservation methods.
Full Text
Duke Authors
- Bottiger, Brandi Anne
- Daneshmand, Mani Ali
- Guinn, Nicole Renee
- Milano, Carmelo Alessio
- Welsby, Ian James
Cited Authors
- Dallas, T; Welsby, I; Bottiger, B; Milano, C; Daneshmand, M; Guinn, N
Published Date
- May 2015
Published In
Volume / Issue
- 4 / 10
Start / End Page
- 140 - 142
PubMed ID
- 25974419
Pubmed Central ID
- 25974419
Electronic International Standard Serial Number (EISSN)
- 2325-7237
International Standard Serial Number (ISSN)
- 2325-7237
Digital Object Identifier (DOI)
- 10.1213/xaa.0000000000000067
Language
- eng