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

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 imag...

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Bibliographic Details
Published in:Vascular and endovascular surgery 2024-04, Vol.58 (4), p.457-460
Main Authors: Kato, Hiroaki, Kato, Noriyuki, Ouchi, Takafumi, Higashigawa, Takatoshi, Bessho, Saki, Shomura, Yu, Ichikawa, Yasutaka, Sakuma, Hajime
Format: Article
Language:English
Subjects:
Aged
Anemia, Hemolytic - etiology
Anemia, Hemolytic - surgery
Aorta - surgery
Blood Vessel Prosthesis Implantation - adverse effects
Endovascular Procedures
Humans
Male
Stents
Treatment Outcome
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Summary: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.
ISSN:1538-5744
1938-9116
DOI:10.1177/15385744231219478