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

• Published in: Journal of Korean medical science Vol. 28; no. 12; pp. 1827 - 1829
• Main Authors: Kang, Hyun, Choe, Ju Won, Cho, Dai Yun, Sohn, Dong Suep, Kim, Sang Wook, Hong, Joonhwa
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Academy of Medical Sciences 01.12.2013; 대한의학회
• Subjects: Acute Disease; Adult; Anastomosis, Surgical; Anemia, Hemolytic - diagnosis; Anemia, Hemolytic - etiology; Anemia, Hemolytic - surgery; Aneurysm, Dissecting - complications; Aneurysm, Dissecting - surgery; Aortic Aneurysm - complications; Aortic Aneurysm - surgery; Blood Vessel Prosthesis; Blood Vessel Prosthesis Implantation - adverse effects; Blood Vessel Prosthesis Implantation - instrumentation; Case Report; Dizziness - etiology; Dyspnea - etiology; Echocardiography; Humans; Male; Postoperative Complications - surgery; Reoperation; Time Factors; Tomography, X-Ray Computed; Treatment Outcome; 의학일반; Inverted Felt; Anemia, Hemolytic; Aortic Dissection
• ISSN: 1011-8934; 1598-6357
• DOI: 10.3346/jkms.2013.28.12.1827

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.