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
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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