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 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.
Izumi
Satoshi
S
Department of Cardiovascular Surgery, Kochi Red Cross Hospital, Kochi, Japan.
Tano
Kazutoshi
K
Horike
Kazuya
K
Kaihotsu
Nobuyuki
N
D000208:Acute Disease; D000368:Aged; D000743:Anemia, Hemolytic / Q000209:etiology; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005260:Female; D006461:Hemolysis; D006801:Humans; D011183:Postoperative Complications; D012086:Reoperation