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Ann Thorac Surg 2009;87:289-290. doi:10.1016/j.athoracsur.2008.09.072
© 2009 The Society of Thoracic Surgeons
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Case Reports

Repair of Type A Dissection in a Jehovah's Witness With Prior Cardiac Operation

Abe DeAnda, MDa,*, Regina Volman, RNb, Bruce D. Spiess, MDc

a Department of Cardiothoracic Surgery, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, New York
b Department of Nursing, Virginia Commonwealth University Medical Center, Richmond, Virginia
c Department of Anesthesiology, Virginia Commonwealth University Medical Center, Richmond, Virginia

Accepted for publication September 26, 2008.

* Address correspondence to Dr DeAnda, Department of Cardiothoracic Surgery, Montefiore Medical Center, 3400 Bainbridge Ave, Ste 5A, Bronx, NY 10467 (Email: adeanda{at}montefiore.org).

As the practice of cardiothoracic surgery continues to evolve in the face of an aging population and increasing comorbidities, patients are being offered options that once may have been considered off limits, often without guidelines or consensus available to guide the surgeon or the patient. A case report of a high-risk aortic procedure is presented to illustrate this conundrum.


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