Jehovah's Witness who require operation represent a challenge to the physician because of the @entity1 ' refusal to accept blood transfusion. We report an 8-year-old male of Jehovah's Witness who underwent a surgical treatment of @entity884 . He was transferred to our hospital because of high fever and heart murmur. Echocardiogram revealed a developing vegetation of aortic cusps and an @entity574 . On admission he was complicated by @entity417 , @entity693 and @entity5414 of left knee. There were no signs of @entity712 . @entity1307 (6000 U thrice weekly) and @entity68 (60 mg daily) were given for 11 weeks prior to surgery, raising the hemoglobin level from 9.2 g/dl to 18.4 g/dl. Aortic valve replacement and plasty of the sinus Valsalva were then performed. Intraoperatively hemoglobin concentration dropped to 10.3 g/dl and it raised to 15 g/dl postoperatively. We also used Cell-Saver to reduce @entity190 . The @entity1 made an uncomplicated recovery. @entity1307 therapy contributed substantially to the successful outcome of this case.

[Open heart surgery in a Jehovah's Witness XXXX --a case report of successful management of aortic regurgatation and aneurysm of sinus Valsalva due to @entity884 ].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity712 :: ('MESH:D006333', 'Disease') :: ['cardiac failure'] @entity417 :: ('MESH:D000740', 'Disease') :: ['anemia'] @entity68 :: ('MESH:D007501', 'Chemical') :: ['iron'] @entity5414 :: ('MESH:D001170', 'Disease') :: ['suppurative arthritis'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity1307 :: ('2056', 'Gene') :: ['Erythropoietin'] @entity693 :: ('MESH:D008581', 'Disease') :: ['purulent meningitis'] @entity574 :: ('MESH:D003323', 'Disease') :: ['aneurysmal change of the non-coronary sinus Valsalva'] @entity884 :: ('MESH:D004696', 'Disease') :: ['infective endocarditis']
@entity1 :: (9606,Species) :: ['boy']
