Hemolytic anemia caused by kinked graft 6 months after aortic dissection repair
Abstract Background Clinically insignificant hemolytic anemia is occasionally a complication of prosthetic valve replacement. However, hemolysis related to kinked grafts is a very rare complication after central repair for acute aortic dissection. Case presentation A 42-year-old man had undergone re...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-12-01
|
| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-022-02079-z |
| _version_ | 1811198327698489344 |
|---|---|
| author | Kazuki Tamura Wataru Tatsuishi Yasunobu Konishi Naoki Konno Yusuke Kato Tomonobu Abe |
| author_facet | Kazuki Tamura Wataru Tatsuishi Yasunobu Konishi Naoki Konno Yusuke Kato Tomonobu Abe |
| author_sort | Kazuki Tamura |
| collection | DOAJ |
| description | Abstract Background Clinically insignificant hemolytic anemia is occasionally a complication of prosthetic valve replacement. However, hemolysis related to kinked grafts is a very rare complication after central repair for acute aortic dissection. Case presentation A 42-year-old man had undergone replacement of the ascending aorta and a root repair for type A aortic dissection 6 months previously. Laboratory data showed mild hemolysis 5 months later, and he began to complain of fatigue on exertion. The serum hemoglobin level reduced to 8.6 g/dL, and lactate dehydrogenase levels increased to 3071 IU/L with gross change in urine color, indicating hemoglobinuria. We diagnosed mechanical hemolytic anemia caused by a kinked graft and planned a repeat operation. The kinked graft was resected and graft-graft anastomosis was performed. Postoperatively, the clinical course was uneventful, and the hemolytic anemia completely resolved. Conclusion We herein report a case of hemolytic anemia caused by kinking of the graft 6 months after acute aortic dissection repair. The diagnosis was swiftly made, and the patient was successfully managed with redo surgery. |
| first_indexed | 2024-04-12T01:29:32Z |
| format | Article |
| id | doaj.art-5ca688cf5df6434c9afc0ffa02729cbb |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-12T01:29:32Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-5ca688cf5df6434c9afc0ffa02729cbb2022-12-22T03:53:32ZengBMCJournal of Cardiothoracic Surgery1749-80902022-12-011711510.1186/s13019-022-02079-zHemolytic anemia caused by kinked graft 6 months after aortic dissection repairKazuki Tamura0Wataru Tatsuishi1Yasunobu Konishi2Naoki Konno3Yusuke Kato4Tomonobu Abe5Division of Cardiovascular Surgery, Department of General Surgical Science, Gunma UniversityDivision of Cardiovascular Surgery, Department of General Surgical Science, Gunma UniversityDivision of Cardiovascular Surgery, Department of General Surgical Science, Gunma UniversityDivision of Cardiovascular Surgery, Department of General Surgical Science, Gunma UniversityDivision of Cardiovascular Surgery, Department of General Surgical Science, Gunma UniversityDivision of Cardiovascular Surgery, Department of General Surgical Science, Gunma UniversityAbstract Background Clinically insignificant hemolytic anemia is occasionally a complication of prosthetic valve replacement. However, hemolysis related to kinked grafts is a very rare complication after central repair for acute aortic dissection. Case presentation A 42-year-old man had undergone replacement of the ascending aorta and a root repair for type A aortic dissection 6 months previously. Laboratory data showed mild hemolysis 5 months later, and he began to complain of fatigue on exertion. The serum hemoglobin level reduced to 8.6 g/dL, and lactate dehydrogenase levels increased to 3071 IU/L with gross change in urine color, indicating hemoglobinuria. We diagnosed mechanical hemolytic anemia caused by a kinked graft and planned a repeat operation. The kinked graft was resected and graft-graft anastomosis was performed. Postoperatively, the clinical course was uneventful, and the hemolytic anemia completely resolved. Conclusion We herein report a case of hemolytic anemia caused by kinking of the graft 6 months after acute aortic dissection repair. The diagnosis was swiftly made, and the patient was successfully managed with redo surgery.https://doi.org/10.1186/s13019-022-02079-zHemolytic anemiaAortic dissectionAscending aortaSurgical |
| spellingShingle | Kazuki Tamura Wataru Tatsuishi Yasunobu Konishi Naoki Konno Yusuke Kato Tomonobu Abe Hemolytic anemia caused by kinked graft 6 months after aortic dissection repair Journal of Cardiothoracic Surgery Hemolytic anemia Aortic dissection Ascending aorta Surgical |
| title | Hemolytic anemia caused by kinked graft 6 months after aortic dissection repair |
| title_full | Hemolytic anemia caused by kinked graft 6 months after aortic dissection repair |
| title_fullStr | Hemolytic anemia caused by kinked graft 6 months after aortic dissection repair |
| title_full_unstemmed | Hemolytic anemia caused by kinked graft 6 months after aortic dissection repair |
| title_short | Hemolytic anemia caused by kinked graft 6 months after aortic dissection repair |
| title_sort | hemolytic anemia caused by kinked graft 6 months after aortic dissection repair |
| topic | Hemolytic anemia Aortic dissection Ascending aorta Surgical |
| url | https://doi.org/10.1186/s13019-022-02079-z |
| work_keys_str_mv | AT kazukitamura hemolyticanemiacausedbykinkedgraft6monthsafteraorticdissectionrepair AT watarutatsuishi hemolyticanemiacausedbykinkedgraft6monthsafteraorticdissectionrepair AT yasunobukonishi hemolyticanemiacausedbykinkedgraft6monthsafteraorticdissectionrepair AT naokikonno hemolyticanemiacausedbykinkedgraft6monthsafteraorticdissectionrepair AT yusukekato hemolyticanemiacausedbykinkedgraft6monthsafteraorticdissectionrepair AT tomonobuabe hemolyticanemiacausedbykinkedgraft6monthsafteraorticdissectionrepair |