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Case Reports in Surgery
Volume 2015, Article ID 239197, 4 pages
Case Report

Repeat Minimally Invasive Mitral Valve Replacement for Recurrent Mitral Stenosis after OMC in Patients Who Decline Blood Product Transfusion for Religious Reasons

1Department of Cardiovascular Surgery, Chibanishi General Hospital, 107-1 Kanegasaku, Matsudo, Chiba 270-2251, Japan
2Department of Cardiovascular Surgery, Omori Red Cross Hospital, 4-30-1 Chuo, Ota-ku, Tokyo 143-8527, Japan
3Department of Cardiovascular Surgery, IMS Katsushika Heart Center, 3-30-1 Horikiri, Katsushika-ku, Tokyo 124-0006, Japan

Received 15 August 2015; Accepted 17 September 2015

Academic Editor: Shuli Silberman

Copyright © 2015 Yujiro Ito et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Cardiac surgery for Jehovah’s Witness (JW) patients is considered to be high risk because of patients’ refusal to receive blood transfusion. We report a successful mitral valve replacement for recurrent mitral stenosis after OMC with minimally invasive right thoracotomy, without any transfusion of allogeneic blood or blood products. This minimally invasive mitral valve replacement through right thoracotomy was an excellent approach for JW patients.