Work

Surgical Outcomes of Stanford Type A Aortic Dissection in Jehovah’s Witness Patients

Year: 2026

Type: article

Abstract: PURPOSE: Surgery for Jehovah's Witness patients with Stanford type A aortic dissection (TAAD) carries a high surgical risk, and few reports have examined outcomes in this patient population. This study evaluated perioperative outcomes of surgery for TAAD in Jehovah's Witness patients. METHODS: Eight Jehovah's Witness patients who underwent surgery for TAAD at our institution between February 2016 and January 2025 were retrospectively reviewed. No patients were receiving antiplatelet or anticoagulant therapy at the time of surgery. Preoperative characteristics, operative data, and postoperative outcomes were assessed. RESULTS: Emergency ascending aortic replacement was performed in 6 patients, while the 2 patients who underwent elective surgery due to a chronic course or thrombosed false lumen received total or partial arch replacement. Both elective cases received preoperative iron supplementation. The median postoperative nadir hemoglobin was 9.2 (interquartile range, 6.8-9.6) g/dL. One patient died, one was transferred to rehabilitation, and 6 patients (75.0%) were discharged home without major complications. CONCLUSIONS: Perioperative outcomes of surgery for TAAD in Jehovah's Witness patients were favorable. Proper surgical timing and preoperative management are essential to achieving satisfactory results. Further investigation with a larger cohort and longer follow-up is warranted.

Source: Annals of Thoracic and Cardiovascular Surgery

DOI: 10.5761/atcs.oa.25-00124

Authors: Kokoro Tabata, Kosaku Nishigawa, Motoharu Shimozawa, Shunya Ono, Takeyuki Kanemura

Institution: Katsushika Medical Center

Language: English

Topic: Aortic Disease and Treatment Approaches

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $753