AI Article Synopsis
- The study focuses on the unique challenges of performing emergency cardiovascular surgery on Jehovah's Witnesses (JW), who refuse blood transfusions.
- It reports on 12 cases of Stanford type A acute aortic dissection where graft replacement of the ascending aorta was successfully performed between 2003 and 2019.
- Despite a significant drop in hemoglobin levels during and after surgery, no blood products were administered, and there were two deaths within 24 hours post-surgery.
Article Abstract
The Jehovah's Witnesses (JW) is well known for declining blood transfusions. Especially, cardiovascular surgery on JW poses unique challenges. We herein report 12 JW emergent cases of Stanford type A acute aortic dissection which underwent graft replacement between 2003 and 2019. Graft replacement of ascending aorta was performed in all cases. Operative time and anesthetic time were 344±100 and 396±109 minutes respectively. The mean intraoperative hemoglobin nadir was 4.9±1.2 g/dl. The postoperative hemoglobin nadir was 6.3 ±2.4 g/dl. There were 2 deaths within 24 hours after surgery. We did not transfuse any packed red blood cells, fresh frozen plasma or platelets for JW patients of Stanford type A acute aortic dissection surgery.
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