Clinical management of bloodless surgery for aortic valves fibroelastoma and coronary artery disease in a Jehova Witness

Kürşad Öz; Özer Ulukan; Ender Öner; Ersin Erek

doi:10.5606/tgkdc.dergisi.2016.11540

Kürşad Öz¹, Özer Ulukan¹, Ender Öner², Ersin Erek³

¹Departments of Cardiovascular Surgery, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Training and Research Hospital, İstanbul, Turkey
²Departments of Cardiology, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Training and Research Hospital, İstanbul, Turkey
³Department of Cardiovascular and Pediatric Cardiovascular Surgery, Medical Faculty of Acıbadem University, Atakent Hospital, İstanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2016.11540

A papillary fibroelastoma is an extremely rare cardiac tumor which often presents asymptomatically. However, it may lead to potentially severe complications due to thromboembolic risk. Cardiac surgery in Jehovah’s Witnesses is a still infrequent procedure due to their religious beliefs which prohibit blood and blood product transfusion in any case, even in fatal emergency operations. Herein, we report a clinical management approach of blood preservation protocol during successful surgical treatment of coronary artery disease and a concomitant aortic valve fibroelastoma in a Jehovah’s Witness in the light of literature data.

Keywords : Blood preservation; Jehovah’s Witness; papillary fibroelastoma; transfusion

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