PDF herunterladen
Thorac Cardiovasc Surg Rep 2015; 04(01): 021-024
DOI: 10.1055/s-0035-1564614
Case Report: Cardiac
Georg Thieme Verlag KG Stuttgart · New York

Heart-Failing Jehovah's Witness Patient Successfully Treated by Minimally Invasive LVAD Implantation without Any Blood Transfusions

Jasmin S. Hanke
1   Department of Cardiac-, Thoracic-, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany
,
Murat Avsar
1   Department of Cardiac-, Thoracic-, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany
,
Axel Haverich
1   Department of Cardiac-, Thoracic-, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany
,
Jan D. Schmitto
1   Department of Cardiac-, Thoracic-, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, Germany
› Institutsangaben
Weitere Informationen

Publikationsverlauf

13. Juli 2015

10. August 2015

Publikationsdatum:
29. Oktober 2015 (online)

Auch verfügbar auf
   Lizenzen und Reprints

Abstract

Left ventricular assist device (LVAD) implantation without the use of any blood products is considered as a challenge. We present a 48-year-old patient (175 cm, 75 kg, body mass index 24.5 kg/m2) who was admitted to our clinic due to end-stage heart failure. The patient is a Jehovah's witness. He declined full blood transfusion as well as use of coagulation factors. Therefore, we interdisciplinary decided to implant an LVAD via minimally invasive technique. The patient experienced an uneventful intrahospital stay and was successfully discharged home on his 17th postoperative day, proving that LVAD implantation without blood transfusions is possible by using a minimally invasive technique. This benefits not only Jehovah's witness patients, but also all patients in need of an LVAD.

Keywords

minimally invasive - LVAD - left ventricular assist device - Jehovah's witness
 

  • References

  • 1 Schmitto JD, Molitoris U, Haverich A, Strueber M. Implantation of a centrifugal pump as a left ventricular assist device through a novel, minimized approach: upper hemisternotomy combined with anterolateral thoracotomy. J Thorac Cardiovasc Surg 2012; 143 (2) 511-513
    CrossrefPubMedSuche in Google Scholar
  • 2 Schmitto JD, Rojas SV, Hanke JS, Avsar M, Haverich A. Minimally invasive left ventricular assist device explantation after cardiac recovery: surgical technical considerations. Artif Organs 2014; 38 (6) 507-510
    CrossrefPubMedSuche in Google Scholar
  • 3 Haberl T, Riebandt J, Mahr S , et al. Viennese approach to minimize the invasiveness of ventricular assist device implantation. Eur J Cardiothorac Surg 2014; 46 (6) 991-996 , discussion 996
    CrossrefPubMedSuche in Google Scholar
  • 4 Vaislic CD, Dalibon N, Ponzio O , et al. Outcomes in cardiac surgery in 500 consecutive Jehovah's Witness patients: 21 year experience. J Cardiothorac Surg 2012; 7: 95
    CrossrefPubMedSuche in Google Scholar
  • 5 Jassar AS, Ford PA, Haber HL , et al. Cardiac surgery in Jehovah's Witness patients: ten-year experience. Ann Thorac Surg 2012; 93 (1) 19-25
    CrossrefPubMedSuche in Google Scholar
  • 6 Dallas T, Welsby I, Bottiger B, Milano C, Daneshmand M, Guinn N. Bloodless orthotopic heart transplantation in a Jehovah's witness. AA Case Rep 2015; 4 (10) 140-142
    PubMedSuche in Google Scholar
  • 7 Rojas SV, Avsar M, Khalpey Z, Hanke JS, Haverich A, Schmitto JD. Minimally invasive off-pump left ventricular assist device exchange: anterolateral thoracotomy. Artif Organs 2014; 38 (7) 539-542
    CrossrefPubMedSuche in Google Scholar