Bloodless Orthotopic Heart Transplantation in a Jehovah's Witness.
Publication
, Journal Article
Dallas, T; Welsby, I; Bottiger, B; Milano, C; Daneshmand, M; Guinn, N
Published in: A a Case Rep
May 15, 2015
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.
Duke Scholars
Altmetric Attention Stats
Dimensions Citation Stats
Published In
A a Case Rep
DOI
EISSN
2325-7237
Publication Date
May 15, 2015
Volume
4
Issue
10
Start / End Page
140 / 142
Location
United States
Related Subject Headings
- Treatment Outcome
- Religion and Medicine
- Middle Aged
- Jehovah's Witnesses
- Humans
- Hemoglobins
- Hematinics
- Heart Transplantation
- Fibrinogen
- Female
Citation
APA
Chicago
ICMJE
MLA
NLM
Dallas, T., Welsby, I., Bottiger, B., Milano, C., Daneshmand, M., & Guinn, N. (2015). Bloodless Orthotopic Heart Transplantation in a Jehovah's Witness. A a Case Rep, 4(10), 140–142. https://doi.org/10.1213/XAA.0000000000000067
Dallas, Torijaun, Ian Welsby, Brandi Bottiger, Carmelo Milano, Mani Daneshmand, and Nicole Guinn. “Bloodless Orthotopic Heart Transplantation in a Jehovah's Witness.” A a Case Rep 4, no. 10 (May 15, 2015): 140–42. https://doi.org/10.1213/XAA.0000000000000067.
Dallas T, Welsby I, Bottiger B, Milano C, Daneshmand M, Guinn N. Bloodless Orthotopic Heart Transplantation in a Jehovah's Witness. A a Case Rep. 2015 May 15;4(10):140–2.
Dallas, Torijaun, et al. “Bloodless Orthotopic Heart Transplantation in a Jehovah's Witness.” A a Case Rep, vol. 4, no. 10, May 2015, pp. 140–42. Pubmed, doi:10.1213/XAA.0000000000000067.
Dallas T, Welsby I, Bottiger B, Milano C, Daneshmand M, Guinn N. Bloodless Orthotopic Heart Transplantation in a Jehovah's Witness. A a Case Rep. 2015 May 15;4(10):140–142.
Published In
A a Case Rep
DOI
EISSN
2325-7237
Publication Date
May 15, 2015
Volume
4
Issue
10
Start / End Page
140 / 142
Location
United States
Related Subject Headings
- Treatment Outcome
- Religion and Medicine
- Middle Aged
- Jehovah's Witnesses
- Humans
- Hemoglobins
- Hematinics
- Heart Transplantation
- Fibrinogen
- Female