Hemolytic Anemia Caused by Graft Kinking Following Ascending Aortic Replacement: Endovascular Treatment With a Palmaz XL Stent.

Autor: Kato H; Department of Radiology, Mie University Hospital, Tsu, Japan., Kato N; Department of Radiology, Mie University Hospital, Tsu, Japan., Ouchi T; Department of Radiology, Mie University Hospital, Tsu, Japan., Higashigawa T; Department of Radiology, Mie University Hospital, Tsu, Japan., Bessho S; Department of Cardiovascular Surgery, Mie University Hospital, Tsu, Japan., Shomura Y; Department of Cardiovascular Surgery, Mie University Hospital, Tsu, Japan., Ichikawa Y; Department of Radiology, Mie University Hospital, Tsu, Japan., Sakuma H; Department of Radiology, Mie University Hospital, Tsu, Japan.
Jazyk: angličtina
Zdroj: Vascular and endovascular surgery [Vasc Endovascular Surg] 2024 Apr; Vol. 58 (4), pp. 457-460. Date of Electronic Publication: 2023 Nov 29.
DOI: 10.1177/15385744231219478
Abstrakt: A 66-year-old man presented with hemolytic anemia, which required frequent blood transfusion, 6 months after surgical repair of an ascending aortic pseudoaneurysm. Hemolysis was attributed to luminal stenosis caused by graft kinking by laboratory test, CT and four-dimensional magnetic resonance imaging. First, an Excluder cuff was placed at the stenotic site under rapid pacing, but it migrated distally. Thereafter a Palmaz XL stent was placed at the stenotic site, which led to resolution of anemia. In this case, a Palmaz XL stent was successfully used to treat hemolytic anemia caused by graft kinking following ascending aortic surgery.
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze: MEDLINE