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- Title
Hemolytic Anemia Caused by Graft Kinking Following Ascending Aortic Replacement: Endovascular Treatment With a Palmaz XL Stent.
- Authors
Kato, Hiroaki; Kato, Noriyuki; Ouchi, Takafumi; Higashigawa, Takatoshi; Bessho, Saki; Shomura, Yu; Ichikawa, Yasutaka; Sakuma, Hajime
- Abstract
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.
- Subjects
HEMOLYTIC anemia diagnosis; HEMOLYTIC anemia treatment; AORTIC valve surgery; VASCULAR grafts; AORTIC aneurysms; AORTIC dissection; SURGICAL anastomosis; COMPUTED tomography; SURGICAL stents; ENDOVASCULAR surgery; TREATMENT effectiveness; MAGNETIC resonance imaging; BLOOD vessel prosthesis; ULTRASONIC imaging; SURGICAL complications; CLINICAL pathology; HEMOLYTIC anemia; FALSE aneurysms; BLOOD circulation; BLOOD transfusion; HEMOLYSIS &; hemolysins; GENERAL anesthesia; CONTRAST media; DISEASE complications
- Publication
Vascular & Endovascular Surgery, 2024, Vol 58, Issue 4, p457
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/15385744231219478