A Case of Hemolytic Anemia Caused by a Kinked Graft after Operation for Aortic Dissection
10.4326/jjcvs.44.275
- VernacularTitle:大動脈解離術後遠隔期に人工血管高度屈曲による溶血性貧血をきたした1例
- Author:
Masahiro Ueno
;
Hironori Inoue
;
Keisuke Yamamoto
;
Yasuo Morishita
- Publication Type:Journal Article
- Keywords:
acute aotic dissection;
hemolytic anemia;
kinked graft
- From:Japanese Journal of Cardiovascular Surgery
2015;44(5):275-278
- CountryJapan
- Language:Japanese
-
Abstract:
A 62-year-old woman was referred to our hospital for treatment of hemolytic anemia 10 years after total arch replacement for acute aortic dissection. The cause of hemolysis was confirmed to be mechanical damage of red blood cells at the kinked graft. Because aortic valve regurgitation and occlusion of the left subclavian artery were also found, resection of the kinked graft, aortic valve replacement and reconstruction of the left subclavian artery were carried out concomitantly at reoperation. Her postoperative course was uneventful, and hemolysis resolved soon after the operation.