title: A surgical case for hemolytic anemia after ascending and total arch replacement.
abstract: 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.
authors.affiliation: The Division of Thoracic Surgery, Department of Internal Medicine, Asahikawa City Hospital, Asahikawa, Japan.
authors.forename: Yasushige
authors.initials: Y
authors.lastname: Shingu
authors.forename: Hidetoshi
authors.initials: H
authors.lastname: Aoki
authors.forename: Noriyoshi
authors.initials: N
authors.lastname: Ebuoka
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Eya
authors.forename: Ko
authors.initials: K
authors.lastname: Takigami
authors.forename: Junichi
authors.initials: J
authors.lastname: Oba
authors.forename: Koji
authors.initials: K
authors.lastname: Chiba
authors.forename: Takashi
authors.initials: T
authors.lastname: Fukuhara
mesh_terms: D000743:Anemia, Hemolytic / Q000209:etiology*; D000784:Aortic Dissection / Q000601:surgery*; D001014:Aortic Aneurysm / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012086:Reoperation