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 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.
Shingu
Yasushige
Y
The Division of Thoracic Surgery, Department of Internal Medicine, Asahikawa City Hospital, Asahikawa, Japan.
Aoki
Hidetoshi
H
Ebuoka
Noriyoshi
N
Eya
Kazuhiro
K
Takigami
Ko
K
Oba
Junichi
J
Chiba
Koji
K
Fukuhara
Takashi
T
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