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Ann Thorac Surg 2008;85:1784-1787. doi:10.1016/j.athoracsur.2007.11.057
© 2008 The Society of Thoracic Surgeons
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Hitoshi Ogino
Hitoshi Matsuda
Kenji Minatoya
Soichiro Kitamura
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Case Reports

Hemolytic Anemia After Operation for Aortic Dissection Using Teflon Felt Strips

Yuki Nakamura, MD, Hitoshi Ogino, MD*, Hitoshi Matsuda, MD, Kenji Minatoya, MD, Hiroaki Sasaki, MD, Soichiro Kitamura, MD

Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan

Accepted for publication November 19, 2007.

* Address correspondence to Dr Ogino, Department of Cardiovascular Surgery, National Cardiovascular Center, 5-7-1, Fujishirodai, Suita, Osaka, 565-8565, Japan (Email: hogino{at}hsp.ncvc.go.jp).

We report three cases of hemolytic anemia caused by anastomotic stenosis after surgical treatment for aortic dissection in which internal and external Teflon (DuPont, Wilmington, DE) felt strips were used for reinforcement of the aortic stump. To detect this complication, laboratory findings typical of red cell fragmentation syndrome as well as appropriate imaging modalities are necessary. As a precaution, it is necessary to be meticulous when stitching the internal felt strip.




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R. Gaeta, S. Lentini, F. Tancredi, and F. Monaco
Reinforcement of Anastomosis in Aortic Dissection Surgery
Ann. Thorac. Surg., November 1, 2008; 86(5): 1721 - 1721.
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