A surgical case for hemolytic anemia after ascending and total arch replacement

A surgical case for hemolytic anemia after ascending and total arch replacement

A 61-year-old man presented with consistent hemolytic anemia 15 months after ascending and total arch replacement for DeBakey I type acute aortic dissection. The cause of hemolysis turned out to be mechanical damage of red blood cells at the inverted felt of the proximal anastomosis. Reoperation of...

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Veröffentlicht in:Annals of thoracic and cardiovascular surgery 2005-12, Vol.11 (6), p.416-418
Hauptverfasser: Shingu, Yasushige, Aoki, Hidetoshi, Ebuoka, Noriyoshi, Eya, Kazuhiro, Takigami, Ko, Oba, Junichi, Chiba, Koji, Fukuhara, Takashi
Format: Artikel
Sprache:eng
Schlagworte:
Anemia, Hemolytic - etiology
Aneurysm, Dissecting - surgery
Aortic Aneurysm - surgery
Aortic Aneurysm, Thoracic - surgery
Humans
Male
Middle Aged
Postoperative Complications
Reoperation
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Zusammenfassung:A 61-year-old man presented with consistent hemolytic anemia 15 months after ascending and total arch replacement for DeBakey I type acute aortic dissection. The cause of hemolysis turned out to be mechanical damage of red blood cells at the inverted felt of the proximal anastomosis. Reoperation of resection of the felt and repair of the proximal anastomosis successfully resolved this problem. We report a rare case of hemolytic anemia at the site of inverted felt strip after total arch replacement.
ISSN:1341-1098