Hemolytic anemia after operation for aortic dissection using teflon felt strips.
We report three cases of hemolytic anemia caused by anastomotic stenosis after surgical treatment for aortic dissection in which internal and external Teflon (DuPont, Wilmington, DE) felt strips were used for reinforcement of the aortic stump. To detect this complication, laboratory findings typical of red cell fragmentation syndrome as well as appropriate imaging modalities are necessary. As a precaution, it is necessary to be meticulous when stitching the internal felt strip.
Nakamura
Yuki
Y
Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan.
Ogino
Hitoshi
H
Matsuda
Hitoshi
H
Minatoya
Kenji
K
Sasaki
Hiroaki
H
Kitamura
Soichiro
S
D000368:Aged; D000714:Anastomosis, Surgical; D000743:Anemia, Hemolytic / Q000209:etiology* / Q000601:surgery; D000784:Aortic Dissection / Q000601:surgery*; D017545:Aortic Aneurysm, Thoracic / Q000601:surgery; D001672:Biocompatible Materials / Q000009:adverse effects*; D001783:Blood Flow Velocity / Q000502:physiology; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000209:etiology; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D011138:Polytetrafluoroethylene / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D011475:Prosthesis Failure; D012086:Reoperation; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color
D001672:Biocompatible Materials; D011138:Polytetrafluoroethylene