Hemolytic Anemia Occurring 14 Years after Ascending Aortic Replacement for Acute Type A Aortic Dissection Due to Aortic Pseudoaneurysm Derived from Anastomotic Leakage: A Case Report

A 64-year-old male patient who presented with symptoms indicative of hemolytic anemia was referred to our hospital. After obtaining the patient’s history, it was found that hemolysis occurred 14 years after he underwent ascending aortic replacement for acute type A aortic dissection. Enhanced comput...

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Autores principales: Izaki, Keishiro, Kawai, Yujiro, Kobayashi, Kanako, Itoh, Takahito, Ohtsubo, Satoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10539129/
https://www.ncbi.nlm.nih.gov/pubmed/37779657
http://dx.doi.org/10.3400/avd.cr.23-00008
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author Izaki, Keishiro
Kawai, Yujiro
Kobayashi, Kanako
Itoh, Takahito
Ohtsubo, Satoshi
author_facet Izaki, Keishiro
Kawai, Yujiro
Kobayashi, Kanako
Itoh, Takahito
Ohtsubo, Satoshi
author_sort Izaki, Keishiro
collection PubMed
description A 64-year-old male patient who presented with symptoms indicative of hemolytic anemia was referred to our hospital. After obtaining the patient’s history, it was found that hemolysis occurred 14 years after he underwent ascending aortic replacement for acute type A aortic dissection. Enhanced computed tomography revealed an aortic pseudoaneurysm at the proximal anastomosis, which was thought to be the cause of hemolysis. Furthermore, aortic valve regurgitation and dilatation of the sinus of Valsalva were also found on a transthoracic echocardiogram. Therefore, the Bentall procedure was performed. During the surgery, aortic pseudoaneurysm formation and vascular graft stenosis were observed. The postoperative course was uneventful, and hemolysis diminished soon after the surgery.
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spelling pubmed-105391292023-09-30 Hemolytic Anemia Occurring 14 Years after Ascending Aortic Replacement for Acute Type A Aortic Dissection Due to Aortic Pseudoaneurysm Derived from Anastomotic Leakage: A Case Report Izaki, Keishiro Kawai, Yujiro Kobayashi, Kanako Itoh, Takahito Ohtsubo, Satoshi Ann Vasc Dis Case Report A 64-year-old male patient who presented with symptoms indicative of hemolytic anemia was referred to our hospital. After obtaining the patient’s history, it was found that hemolysis occurred 14 years after he underwent ascending aortic replacement for acute type A aortic dissection. Enhanced computed tomography revealed an aortic pseudoaneurysm at the proximal anastomosis, which was thought to be the cause of hemolysis. Furthermore, aortic valve regurgitation and dilatation of the sinus of Valsalva were also found on a transthoracic echocardiogram. Therefore, the Bentall procedure was performed. During the surgery, aortic pseudoaneurysm formation and vascular graft stenosis were observed. The postoperative course was uneventful, and hemolysis diminished soon after the surgery. Japanese College of Angiology / The Japanese Society for Vascular Surgery / Japanese Society of Phlebology 2023-09-25 /pmc/articles/PMC10539129/ /pubmed/37779657 http://dx.doi.org/10.3400/avd.cr.23-00008 Text en © 2023 The Editorial Committee of Annals of Vascular Diseases. https://creativecommons.org/licenses/by-nc-sa/4.0/This article is distributed under the terms of the Creative Commons Attribution License, which permits use, distribution, and reproduction in any medium, provided the credit of the original work, a link to the license, and indication of any change are properly given, and the original work is not used for commercial purposes. Remixed or transformed contributions must be distributed under the same license as the original.
spellingShingle Case Report
Izaki, Keishiro
Kawai, Yujiro
Kobayashi, Kanako
Itoh, Takahito
Ohtsubo, Satoshi
Hemolytic Anemia Occurring 14 Years after Ascending Aortic Replacement for Acute Type A Aortic Dissection Due to Aortic Pseudoaneurysm Derived from Anastomotic Leakage: A Case Report
title Hemolytic Anemia Occurring 14 Years after Ascending Aortic Replacement for Acute Type A Aortic Dissection Due to Aortic Pseudoaneurysm Derived from Anastomotic Leakage: A Case Report
title_full Hemolytic Anemia Occurring 14 Years after Ascending Aortic Replacement for Acute Type A Aortic Dissection Due to Aortic Pseudoaneurysm Derived from Anastomotic Leakage: A Case Report
title_fullStr Hemolytic Anemia Occurring 14 Years after Ascending Aortic Replacement for Acute Type A Aortic Dissection Due to Aortic Pseudoaneurysm Derived from Anastomotic Leakage: A Case Report
title_full_unstemmed Hemolytic Anemia Occurring 14 Years after Ascending Aortic Replacement for Acute Type A Aortic Dissection Due to Aortic Pseudoaneurysm Derived from Anastomotic Leakage: A Case Report
title_short Hemolytic Anemia Occurring 14 Years after Ascending Aortic Replacement for Acute Type A Aortic Dissection Due to Aortic Pseudoaneurysm Derived from Anastomotic Leakage: A Case Report
title_sort hemolytic anemia occurring 14 years after ascending aortic replacement for acute type a aortic dissection due to aortic pseudoaneurysm derived from anastomotic leakage: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10539129/
https://www.ncbi.nlm.nih.gov/pubmed/37779657
http://dx.doi.org/10.3400/avd.cr.23-00008
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