Case Reports
A Case of Hemolytic Anemia by the Kinked Graft in Long Term Period after Aortic Replacement for Acute Aortic Dissection
2020 Volume 29 Issue 3 Pages 181-183
Details
2020 Volume 29 Issue 3 Pages 181-183
A 58-year-old man was referred to our hospital for treatment of hemolytic anemia with jaundice (Hb 6.9 g/dL, LDH 2684 IU/L, T-Bil 6.9 mg/dL) 7 years after ascending aortic replacement for acute type A aortic dissection. The cause of hemolysis was confirmed to be mechanical damage by the kinked graft. Distal anastomotic line was angulated because of the dilatation on the aortic arch with residual false lumen. We performed total arch replacement with open stent grafting and resected the kinked graft. His postoperative course was uneventful and hemolysis resolved soon after the operation.
