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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Koide S, Kanebuchi K, Suzuki I, Kawada S, Shoutsu A. Study of hemolysis after the ringed intraluminal graft surgery in the treatment of aortic dissection: Comparison with a case of hemolytic anemia from the kinked graft. Jpn J Artif Organs. 1989; 18: 196–9.
Adachi H, Omoto R, Yokote Y, Kimura S, Kyo S, Noda H, et al. Clinical evaluation of ringed intraluminal graft for acute aortic dissection. Jpn J Artif Organs. 1982; 21: 249–53.
Rose JC, Hufnagel CA, Freis ED, Harvey WP, Partenope EA. The hemodynamic alteration produced by a plastic valvular prothesis for severe aortic insufficiency in man. J Clin Invest 1954; 33: 891–900.
Sigler AT, Forman EN, Zinkham WH, Neil CA. Severe intravascular hemolysis following surgical repair of endocardial cushion defects. Am J Med 1963; 35: 467–80.
Sanyl SK, Polesky HF, Hume M, Browne MJ. Spontaneous partial remission of postoperative hemolytic anemia in a case with ostium primum defect. Circulation 1964; 30: 803–7.
Mok P, Lieberman EH, Lilly LS, Schafer AI, DiSesa VJ, Rutherford CR, et al. Severe hemolytic anemia following mitral valve repair. Am. Heart J. 1989; 117: 1171–3.
Ward RP, Sugeng L, Weinert L, Korcarz C, Verdino RJ, Spencer KT, et al. Hemolysis after mitral valve repair. Circulation 2000; 101: 695–6.
Wilson JH, Rath R, Glaser R, Panke T. Hemolysis after mitral valve repair. Ann. Thorac Surg 1990; 50: 136–7.
Fukada Y, Aoki H, Oba J, Yoshida T, Takigami M, Itoh M, et al. A case of mitral valve replacement in a patient with severe mechanical hemolytic anemia after mitral valve repair. Jpn J Cardiovasc Surg 2002; 31: 239–41.
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Izumi, S., Tano, K., Horike, K. et al. Repeat surgery for hemolysis 6 years after replacement of the ascending aorta for acute aortic dissection. Jpn J Thorac Caridovasc Surg 51, 459–461 (2003). https://doi.org/10.1007/BF02719604
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DOI: https://doi.org/10.1007/BF02719604