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THE JOURNAL OF CARDIOVASCULAR SURGERY

A Journal on Cardiac, Vascular and Thoracic Surgery


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The Journal of Cardiovascular Surgery 2003 February;44(1):131-4

language: English

Lung transplantation in a Jehovah’s witness. Case report in a twinning procedure

Grande A. M., Rinaldi M., D’Armini A. M., Pellegrini C., Viganò

Division of Cardiac Surgery Department of Surgery and Organ Transplantation IRCCS “San Matteo” Polyclinic University of Pavia, Pavia, Italy


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Jehovah’s Witnesses, ­patients ­who ­refuse ­blood trans­fu­sions, ­are gen­er­al­ly ­not con­sid­ered as can­di­dates ­for ­lung trans­plan­ta­tion ­owing to ­the fre­quent require­ment ­for trans­fu­sions. A suc­cess­ful pro­ce­dure in a Jehovah’s Witness is pre­sent­ed ­and to ­our knowl­edge ­this is ­the 2nd report­ed ­case. The ­patient, a 38-­year-­old ­female, ­type I dia­betes, affect­ed by idi­o­pat­ic pul­mo­nary fibro­sis under­went ­left ­lung trans­plan­ta­tion. From ­the ­same pul­mo­nary ­bloc a twin­ning pro­ce­dure ­was ­obtained by ­means of ­right ­lung trans­plan­ta­tion in a 58-­year-­old ­man affect­ed by ­the ­same pathol­o­gy. Surgical strat­e­gies ­employed in achiev­ing a suc­cess­ful out­come, eth­i­cal ­and ­moral ­aspects ­are dis­cussed.

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