Thorac Cardiovasc Surg 2012; 60(07): 482-484
DOI: 10.1055/s-0031-1280006
Case Reports
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Postoperative Early Hemolytic Anemia due to Inverted Teflon Felt Strip after Emergency Repair for Type A Dissection

M. Hata
1  Department of Cardiovascular Surgery, Nihon University, Tokyo, Japan
,
I. Yoshitake
1  Department of Cardiovascular Surgery, Nihon University, Tokyo, Japan
,
S. Wakui
1  Department of Cardiovascular Surgery, Nihon University, Tokyo, Japan
,
S. Unosawa
1  Department of Cardiovascular Surgery, Nihon University, Tokyo, Japan
,
H. Hata
1  Department of Cardiovascular Surgery, Nihon University, Tokyo, Japan
,
M. Shiono
1  Department of Cardiovascular Surgery, Nihon University, Tokyo, Japan
› Author Affiliations
Further Information

Publication History

14 April 2011

09 May 2011

Publication Date:
15 July 2011 (online)

Abstract

A 39-year-old man underwent emergency surgery for type A acute aortic dissection complicated by paraplegia. However, hemolytic anemia increased significantly due to severe stenosis of the proximal anastomosis one month after surgery. He finally underwent a redo procedure 4 months after the initial operation whereupon it was verified that half of the inner felt strip used for proximal stump fixation had turned up and was protruding into the inner lumen. We report here on a rare case of survival of postoperative early hemolytic anemia due to severe graft stenosis caused by an inverted inner Teflon felt strip without any extra vascular compression.