Ventricular Septal Perforation Repair Carried out on a Jehovah's Witness

  • Morita Yuichi
    Department of Cardiovascular Surgery, Fukuoka University Hospital
  • Tashiro Tadashi
    Department of Cardiovascular Surgery, Fukuoka University Hospital
  • Ohsumi Masahiro
    Department of Cardiovascular Surgery, Fukuoka University Hospital
  • Sukehiro Yuta
    Department of Cardiovascular Surgery, Fukuoka University Hospital
  • Kamiya Shinji
    Department of Cardiovascular Surgery, Fukuoka University Hospital
  • Amako Mau
    Department of Cardiovascular Surgery, Fukuoka University Hospital
  • Minematsu Noritoshi
    Department of Cardiovascular Surgery, Fukuoka University Hospital
  • Matsumura Hitoshi
    Department of Cardiovascular Surgery, Fukuoka University Hospital
  • Nishimi Masaru
    Department of Cardiovascular Surgery, Fukuoka University Hospital
  • Wada Hideichi
    Department of Cardiovascular Surgery, Fukuoka University Hospital

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Other Title
  • エホバの証人に対する心室中隔穿孔修復術の1例

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Abstract

In a 63-year-old male patient Jehovah's witness, IABP was introduced due to acute myocardial infarction and cardiogenic shock, and PCI (BMS) was carried out to CAG #7 100%. Stent placement was carried out and his hemodynamics stabilized. A left-to-right shunt was observed upon carrying out LVG, so the patient was referred to our hospital for surgery purposes due to a diagnosis of ventricular septal perforation (VSP). Upon transferring the patient to hospital, his PA pressure elevated to 53 mmHg although the blood pressure was maintained, and no findings of right heart failure were observed. His respiratory condition was stable. Emergency surgery was considered, but the patient was taking Clopidogrel following PCI, and so VSP repair (extended endocardial repair) was carried out following 4 days discontinuation of Clopidogrel. Preoperative anemia was not observed ; however, postoperative hemorrhagic anemia improved due to iron preparation administration, and the patient was discharged from hospital 22 days following surgery without blood transfusion.

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