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

Yuichi Morita	Tadashi Tashiro	Masahiro Ohsumi
Yuta Sukehiro	Shinji Kamiya	Mau Amako
Noritoshi Minematsu	Hitoshi Matsumura	Masaru Nishimi and Hideichi Wada

（Department of Cardiovascular Surgery, Fukuoka University Hospital, Fukuoka, Japan）

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 53mmHg 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.　

Jpn. J. Cardiovasc. Surg. 44:125-129（2015）

Keywords：no blood transfusion;Jehovah’s witnesses;ventricular septum perforation;extended endocardial repair