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Case Reports
. 2003 Sep;51(9):459-61.
doi: 10.1007/BF02719604.

Repeat surgery for hemolysis 6 years after replacement of the ascending aorta for acute aortic dissection

Satoshi Izumi  1 , Kazutoshi Tano, Kazuya Horike, Nobuyuki Kaihotsu
Affiliations
Case Reports

Repeat surgery for hemolysis 6 years after replacement of the ascending aorta for acute aortic dissection

Satoshi Izumi et al. Jpn J Thorac Cardiovasc Surg. 2003 Sep.

Abstract

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.

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