Evidence map›Paper›PMID 41386945›Full record

ArticleJACC. Case reports2025

Bloodless Third Reoperative Multivalvular, Aortic, and Double-Chamber Right Ventricular Surgery in a Jehovah's Witness Patient.

Philip Leib, Juan B Umana-Pizano, Jonathan Putnam, Anand Mehta, Dana Angelini, Margaret Fuchs, Joanna Ghobrial, Eric E Roselli

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Philip LeibAortic Center, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA; Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Juan B Umana-PizanoAortic Center, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA; Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Jonathan PutnamAortic Center, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA; Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Anand MehtaAortic Center, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA; Department of Anesthesiology, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Dana AngeliniDepartment of Hematology, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Margaret FuchsAortic Center, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA; Department of Cardiology, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Joanna GhobrialAortic Center, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA; Department of Cardiology, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Eric E RoselliAortic Center, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA; Department of Thoracic and Cardiovascular Surgery, Heart, Vascular, and Thoracic Institute, Cleveland Clinic, Cleveland, Ohio, USA. Electronic address: RosellE@ccf.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundJehovah's Witness patients present unique challenges in cardiac surgery given their refusal of blood transfusion. This complexity is amplified in reoperative and congenital cases. CASE SUMMARY: A 60-year-old, 45-kg Jehovah's Witness woman with complex congenital heart disease and prior cardiac interventions underwent successful third-time sternotomy for mechanical aortic valve replacement, ascending aortic replacement, patent ductus arteriosus ligation, and double-chamber right ventricle repair using a bloodless strategy. A multidisciplinary approach was used to optimize her physiology preoperatively. Intraoperative management included cell salvage, autologous transfusion, and hemostatic agents. She was discharged on day 24 with preserved cardiac function. DISCUSSION: This case highlights the feasibility of high-risk, bloodless congenital reoperations through careful perioperative planning, preoperative imaging, and adherence to institutional blood conservation protocols. TAKE-HOME MESSAGES: Multidisciplinary planning and preoperative imaging are important for procedural preparation in high-risk bloodless cardiac surgery. Institutional protocols and experience are keys to success in complex bloodless reoperations.

Indexed as

aortic stenosisbloodless surgerycardiac reoperationscongenital heart diseasedouble chamber right ventricleJehovah's witness

Identifiers

PMID41386945
PMCPMC12861674

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.