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Case Reports
The Ross operation in a Jehovah's Witness: a paradigm for heart surgery in children without transfusion.
- K Miyaji, R L Hannan, J W Ojito, J A White, and R P Burke.
- Division of Cardiovascular Surgery, Miami Children's Hospital, Florida 33155-4069, USA.
- Ann. Thorac. Surg. 2000 Mar 1;69(3):935-7.
AbstractA 3-year-old 18 kg male child of the Jehovah's Witness faith presented with severe aortic regurgitation. A successful Ross procedure was performed using a pulmonary autograft, without the use of blood or blood product transfusion. Blood conservation strategy included: (1) preoperative treatment with recombinant human erythropoietin; (2) intraoperative strategies, including technical modifications to the Ross procedure, and the prophylactic use of fibrin glue; (3) utilization of a heparin-bonded cardiopulmonary bypass circuit and assisted venous drainage; and 4) the use of prebypass phlebotomy, cell-saving device and autotransfusion. The patient was discharged home on postoperative day 7 with a hemoglobin level of 11.9.
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