Usefulness of three-dimensional transesophageal echocardiography for diagnosis of hemolytic anemia due to inverted internal felt strip after surgery for aortic dissection
Felt strips are widely used for reinforcement of the aortic stump in surgery for aortic dissection (AD). Postoperative hemolytic anemia (HA) due to an inverted internal felt strip at the aortic stump fixation for AD is extremely rare. A 70-year-old woman underwent ascending aorta replacement for acu...
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| Veröffentlicht in: | Journal of medical ultrasonics (2001) 2017-04, Vol.44 (2), p.211-214 |
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| creator | Oda, Takeshi Yasunaga, Hiroshi Zaima, Yasuyuki Arimura, Akiko Imai, Shinichi Kanamoto, Ryo Fukuda, Hayato Nakamura, Eiji Tashiro, Hideki Aoyagi, Shigeaki |
| description | Felt strips are widely used for reinforcement of the aortic stump in surgery for aortic dissection (AD). Postoperative hemolytic anemia (HA) due to an inverted internal felt strip at the aortic stump fixation for AD is extremely rare. A 70-year-old woman underwent ascending aorta replacement for acute type A AD, where both proximal and distal anastomotic sites were reinforced with Teflon felt strips. A week later, macroscopic hematuria and HA emerged. Three-dimensional transesophageal echocardiography (3D-TEE) demonstrated that the proximal inner felt strip turned up and protruded into the aortic inner lumen. At redo surgery, which was performed 2 weeks after the initial surgery, the findings of 3D-TEE were confirmed, and the inverted internal felt strip was replaced with a bovine pericardial strip. The findings of HA disappeared immediately after the second surgery. 3D-TEE is a very informative, valuable modality for accurate diagnosis that leads to a safe surgery. |
| doi_str_mv | 10.1007/s10396-016-0759-0 |
| format | Article |
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Postoperative hemolytic anemia (HA) due to an inverted internal felt strip at the aortic stump fixation for AD is extremely rare. A 70-year-old woman underwent ascending aorta replacement for acute type A AD, where both proximal and distal anastomotic sites were reinforced with Teflon felt strips. A week later, macroscopic hematuria and HA emerged. Three-dimensional transesophageal echocardiography (3D-TEE) demonstrated that the proximal inner felt strip turned up and protruded into the aortic inner lumen. At redo surgery, which was performed 2 weeks after the initial surgery, the findings of 3D-TEE were confirmed, and the inverted internal felt strip was replaced with a bovine pericardial strip. The findings of HA disappeared immediately after the second surgery. 3D-TEE is a very informative, valuable modality for accurate diagnosis that leads to a safe surgery.</description><identifier>ISSN: 1346-4523</identifier><identifier>EISSN: 1613-2254</identifier><identifier>DOI: 10.1007/s10396-016-0759-0</identifier><identifier>PMID: 27858229</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Advertising executives ; Aged ; Anemia ; Anemia, Hemolytic - diagnostic imaging ; Anemia, Hemolytic - etiology ; Aneurysm, Dissecting - diagnostic imaging ; Aneurysm, Dissecting - surgery ; Aorta ; Aortic Aneurysm - diagnostic imaging ; Aortic Aneurysm - surgery ; Aortic dissection ; Aortic stenosis ; Blood Vessel Prosthesis - adverse effects ; Case Report ; Coronary vessels ; Diagnosis ; Dissecting aneurysm ; Dissection ; Echocardiography ; Echocardiography, Three-Dimensional - methods ; Echocardiography, Transesophageal - methods ; Female ; Hematuria ; Hemolytic anemia ; Humans ; Imaging ; Magnetic resonance imaging ; Medical diagnosis ; Medicine ; Medicine & Public Health ; Polytetrafluoroethylene ; Radiology ; Reoperation ; Strip ; Surgery ; Ultrasound</subject><ispartof>Journal of medical ultrasonics (2001), 2017-04, Vol.44 (2), p.211-214</ispartof><rights>The Japan Society of Ultrasonics in Medicine 2016</rights><rights>COPYRIGHT 2017 Springer</rights><rights>The Japan Society of Ultrasonics in Medicine 2016.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c463t-3f0eefaffddbbd871d283a8b82d4b963dda4829b62e6564a039427d9402b89343</citedby><cites>FETCH-LOGICAL-c463t-3f0eefaffddbbd871d283a8b82d4b963dda4829b62e6564a039427d9402b89343</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10396-016-0759-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2918186091?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,776,780,21367,27901,27902,33721,33722,41464,42533,43781,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27858229$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oda, Takeshi</creatorcontrib><creatorcontrib>Yasunaga, Hiroshi</creatorcontrib><creatorcontrib>Zaima, Yasuyuki</creatorcontrib><creatorcontrib>Arimura, Akiko</creatorcontrib><creatorcontrib>Imai, Shinichi</creatorcontrib><creatorcontrib>Kanamoto, Ryo</creatorcontrib><creatorcontrib>Fukuda, Hayato</creatorcontrib><creatorcontrib>Nakamura, Eiji</creatorcontrib><creatorcontrib>Tashiro, Hideki</creatorcontrib><creatorcontrib>Aoyagi, Shigeaki</creatorcontrib><title>Usefulness of three-dimensional transesophageal echocardiography for diagnosis of hemolytic anemia due to inverted internal felt strip after surgery for aortic dissection</title><title>Journal of medical ultrasonics (2001)</title><addtitle>J Med Ultrasonics</addtitle><addtitle>J Med Ultrason (2001)</addtitle><description>Felt strips are widely used for reinforcement of the aortic stump in surgery for aortic dissection (AD). Postoperative hemolytic anemia (HA) due to an inverted internal felt strip at the aortic stump fixation for AD is extremely rare. A 70-year-old woman underwent ascending aorta replacement for acute type A AD, where both proximal and distal anastomotic sites were reinforced with Teflon felt strips. A week later, macroscopic hematuria and HA emerged. Three-dimensional transesophageal echocardiography (3D-TEE) demonstrated that the proximal inner felt strip turned up and protruded into the aortic inner lumen. At redo surgery, which was performed 2 weeks after the initial surgery, the findings of 3D-TEE were confirmed, and the inverted internal felt strip was replaced with a bovine pericardial strip. The findings of HA disappeared immediately after the second surgery. 3D-TEE is a very informative, valuable modality for accurate diagnosis that leads to a safe surgery.</description><subject>Advertising executives</subject><subject>Aged</subject><subject>Anemia</subject><subject>Anemia, Hemolytic - diagnostic imaging</subject><subject>Anemia, Hemolytic - etiology</subject><subject>Aneurysm, Dissecting - diagnostic imaging</subject><subject>Aneurysm, Dissecting - surgery</subject><subject>Aorta</subject><subject>Aortic Aneurysm - diagnostic imaging</subject><subject>Aortic Aneurysm - surgery</subject><subject>Aortic dissection</subject><subject>Aortic stenosis</subject><subject>Blood Vessel Prosthesis - adverse effects</subject><subject>Case Report</subject><subject>Coronary vessels</subject><subject>Diagnosis</subject><subject>Dissecting aneurysm</subject><subject>Dissection</subject><subject>Echocardiography</subject><subject>Echocardiography, Three-Dimensional - methods</subject><subject>Echocardiography, Transesophageal - methods</subject><subject>Female</subject><subject>Hematuria</subject><subject>Hemolytic anemia</subject><subject>Humans</subject><subject>Imaging</subject><subject>Magnetic resonance imaging</subject><subject>Medical diagnosis</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Polytetrafluoroethylene</subject><subject>Radiology</subject><subject>Reoperation</subject><subject>Strip</subject><subject>Surgery</subject><subject>Ultrasound</subject><issn>1346-4523</issn><issn>1613-2254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1Ustu1TAQjRCIlsIHsEGW2LBJ8SuJs6wqXlIlNnRtOfH4XldJfPE4SPeX-Eom3EIFAlmWx-NzjmaOp6peCn4pOO_eouCqb2suaHdNX_NH1blohaqlbPRjipVua91IdVY9Q7zjXCvN5dPqTHamMVL259X3W4SwTgsgshRY2WeA2scZFoxpcRMr2S0ImA57twO6w7hPo8s-pl12h_2RhZSZj263JIw_NfYwp-lY4sjcAnN0zK_ASmJx-Qa5gKegQN60A0yFYcnxwFygHMM17yCfNF3Km4aPiDAWKuZ59SS4CeHF_XlR3b5_9-X6Y33z-cOn66ubetStKrUKHCC4ELwfBm864aVRzgxGej30rfLeaSP7oZXQNq12ZKGWne_JmcH0SquL6s1J95DT1xWw2DniCNNE7aQVrTBaGN6Q6wR9_Rf0Lq1ba2hlL4wwLe_FA2rnJrBxCYlMHTdRe9UJbXpuTEOoy3-gaHkycUwLhEj5PwjiRBhzQswQ7CHH2eWjFdxu82FP82GpUrvNh-XEeXVf8DrM4H8zfg0EAeQJgPS00Gc8dPR_1R9gxsix</recordid><startdate>20170401</startdate><enddate>20170401</enddate><creator>Oda, Takeshi</creator><creator>Yasunaga, Hiroshi</creator><creator>Zaima, Yasuyuki</creator><creator>Arimura, Akiko</creator><creator>Imai, Shinichi</creator><creator>Kanamoto, Ryo</creator><creator>Fukuda, Hayato</creator><creator>Nakamura, Eiji</creator><creator>Tashiro, Hideki</creator><creator>Aoyagi, Shigeaki</creator><general>Springer Japan</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20170401</creationdate><title>Usefulness of three-dimensional transesophageal echocardiography for diagnosis of hemolytic anemia due to inverted internal felt strip after surgery for aortic dissection</title><author>Oda, Takeshi ; Yasunaga, Hiroshi ; Zaima, Yasuyuki ; Arimura, Akiko ; Imai, Shinichi ; Kanamoto, Ryo ; Fukuda, Hayato ; Nakamura, Eiji ; Tashiro, Hideki ; Aoyagi, Shigeaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c463t-3f0eefaffddbbd871d283a8b82d4b963dda4829b62e6564a039427d9402b89343</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Advertising executives</topic><topic>Aged</topic><topic>Anemia</topic><topic>Anemia, Hemolytic - 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Academic</collection><jtitle>Journal of medical ultrasonics (2001)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oda, Takeshi</au><au>Yasunaga, Hiroshi</au><au>Zaima, Yasuyuki</au><au>Arimura, Akiko</au><au>Imai, Shinichi</au><au>Kanamoto, Ryo</au><au>Fukuda, Hayato</au><au>Nakamura, Eiji</au><au>Tashiro, Hideki</au><au>Aoyagi, Shigeaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Usefulness of three-dimensional transesophageal echocardiography for diagnosis of hemolytic anemia due to inverted internal felt strip after surgery for aortic dissection</atitle><jtitle>Journal of medical ultrasonics (2001)</jtitle><stitle>J Med Ultrasonics</stitle><addtitle>J Med Ultrason (2001)</addtitle><date>2017-04-01</date><risdate>2017</risdate><volume>44</volume><issue>2</issue><spage>211</spage><epage>214</epage><pages>211-214</pages><issn>1346-4523</issn><eissn>1613-2254</eissn><abstract>Felt strips are widely used for reinforcement of the aortic stump in surgery for aortic dissection (AD). Postoperative hemolytic anemia (HA) due to an inverted internal felt strip at the aortic stump fixation for AD is extremely rare. A 70-year-old woman underwent ascending aorta replacement for acute type A AD, where both proximal and distal anastomotic sites were reinforced with Teflon felt strips. A week later, macroscopic hematuria and HA emerged. Three-dimensional transesophageal echocardiography (3D-TEE) demonstrated that the proximal inner felt strip turned up and protruded into the aortic inner lumen. At redo surgery, which was performed 2 weeks after the initial surgery, the findings of 3D-TEE were confirmed, and the inverted internal felt strip was replaced with a bovine pericardial strip. The findings of HA disappeared immediately after the second surgery. 3D-TEE is a very informative, valuable modality for accurate diagnosis that leads to a safe surgery.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>27858229</pmid><doi>10.1007/s10396-016-0759-0</doi><tpages>4</tpages></addata></record> |
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| subjects | Advertising executives Aged Anemia Anemia, Hemolytic - diagnostic imaging Anemia, Hemolytic - etiology Aneurysm, Dissecting - diagnostic imaging Aneurysm, Dissecting - surgery Aorta Aortic Aneurysm - diagnostic imaging Aortic Aneurysm - surgery Aortic dissection Aortic stenosis Blood Vessel Prosthesis - adverse effects Case Report Coronary vessels Diagnosis Dissecting aneurysm Dissection Echocardiography Echocardiography, Three-Dimensional - methods Echocardiography, Transesophageal - methods Female Hematuria Hemolytic anemia Humans Imaging Magnetic resonance imaging Medical diagnosis Medicine Medicine & Public Health Polytetrafluoroethylene Radiology Reoperation Strip Surgery Ultrasound |
| title | Usefulness of three-dimensional transesophageal echocardiography for diagnosis of hemolytic anemia due to inverted internal felt strip after surgery for aortic dissection |
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