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Case Reports
. 2013 Dec;28(12):1827-9.
doi: 10.3346/jkms.2013.28.12.1827. Epub 2013 Nov 26.

Hemolytic anemia case caused by an inverted inner felt after bentall operation

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Case Reports

Hemolytic anemia case caused by an inverted inner felt after bentall operation

Hyun Kang et al. J Korean Med Sci. 2013 Dec.

Abstract

A 26-yr-old male patient reported worsened dyspnea, dizziness one year after an emergency Bentall operation for type A aortic dissection. There was evidence of hemolytic anemia and aortogram revealed a significant stenosis at the distal anastomosis site. During the reoperation, we found the inner felt at the distal anastomosis was inverted causing a significant stenosis. The reoperation successfully resolved this problem. Here, we report a rare case of hemolytic anemia caused by an inverted inner felt after Bentall operation.

Keywords: Anemia, Hemolytic; Aortic Dissection; Inverted Felt.

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Figures

Fig. 1
Fig. 1
CT taken two days after the surgery. No significant stenosis at the distal anastomosis site.
Fig. 2
Fig. 2
Aortogram taken one year after surgery. Narrowing of the aorta anastomosis site.
Fig. 3
Fig. 3
Inverted inner felt (arrows indicate the most significant inversion). (A) Operative field after the aorta transsection. (B) Resected felt strips. (C) Schematic view.

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