Repeat surgery for hemolysis 6 years after replacement of the ascending aorta for acute aortic dissection

A 71-year-old woman underwent replacement of the ascending aorta for Type A aortic dissection. After 6 years, she suddenly developed severe hemolytic anemia, and a second operation for replacement of the ascending aorta was performed. Her hemolysis was thought to occur as follows: the proximal ascen...

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Veröffentlicht in:General thoracic and cardiovascular surgery 2003-09, Vol.51 (9), p.459-461
Hauptverfasser: Izumi, Satoshi, Tano, Kazutoshi, Horike, Kazuya, Kaihotsu, Nobuyuki
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container_title General thoracic and cardiovascular surgery
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creator Izumi, Satoshi
Tano, Kazutoshi
Horike, Kazuya
Kaihotsu, Nobuyuki
description A 71-year-old woman underwent replacement of the ascending aorta for Type A aortic dissection. After 6 years, she suddenly developed severe hemolytic anemia, and a second operation for replacement of the ascending aorta was performed. Her hemolysis was thought to occur as follows: the proximal ascending aorta of the graft might have gradually expanded until it compressed the graft. The severe hemolysis was thought to be attributable to disturbance of blood flow by a jet of blood at the site of constriction or the reversed inner felt. Such a case as this is very unusual in that the second operation for hemolytic anemia occurred 6 years after the first surgery.
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subjects Acute Disease
Aged
Anemia, Hemolytic - etiology
Aneurysm, Dissecting - surgery
Aortic Aneurysm - surgery
Aortic dissection
Blood Vessel Prosthesis
Female
Hemolysis
Humans
Postoperative Complications
Reoperation
title Repeat surgery for hemolysis 6 years after replacement of the ascending aorta for acute aortic dissection
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