Successful Ascending Aorta and Hemiarch Replacement and Aortic Valve Resuspension Via Redo Median Sternotomy Using Hypothermic Circulatory Arrest in a Practicing Jehovah's Witnesses Patient

Perioperative Management of Patients for Whom Transfusion Is Not an Option

“…The guiding principle for management of patients without transfusion in the operating room is preserving the patient’s own blood. The primary intraoperative blood conservation methods discussed here include cell salvage (or autotransfusion) for blood lost during surgery, and autologous normovolemic hemodilution (ANH), both of which are acceptable to most Jehovah’s Witness patients when they remain connected to the patient, as we have previously described in detail, 44 although considered to be a personal choice.…”