Spontaneous splenic rupture, mesenteric ischemia and spinal infarction after aortic repair for acute type A dissection in a patient with sickle cell trait

Sickle cell trait (SCT), a benign hematological condition affecting approximately 300 million individuals globally, is associated with an increased risk of vaso-occlusive disease. However, the risks related to surgery employing cardiopulmonary bypass in patients with SCT are not well established. He...

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Autores principales: Toyoda, Makoto, Kitamura, Tadashi, Nakashima, Kouki, Matsunaga, Yoshikiyo, Nie, Masaki, Miyaji, Kagami
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Singapore 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7900333/
https://www.ncbi.nlm.nih.gov/pubmed/33090364
http://dx.doi.org/10.1007/s11748-020-01520-1
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author Toyoda, Makoto
Kitamura, Tadashi
Nakashima, Kouki
Matsunaga, Yoshikiyo
Nie, Masaki
Miyaji, Kagami
author_facet Toyoda, Makoto
Kitamura, Tadashi
Nakashima, Kouki
Matsunaga, Yoshikiyo
Nie, Masaki
Miyaji, Kagami
author_sort Toyoda, Makoto
collection PubMed
description Sickle cell trait (SCT), a benign hematological condition affecting approximately 300 million individuals globally, is associated with an increased risk of vaso-occlusive disease. However, the risks related to surgery employing cardiopulmonary bypass in patients with SCT are not well established. Herein, we report the case of a 27-year-old African American man with SCT who underwent an emergency aortic repair for acute Stanford type A aortic dissection using hypothermic circulatory arrest. The patient developed a sickle cell crisis, which was followed by spontaneous splenic infarction and rupture, nonocclusive mesenteric ischemia, and spinal infarction.
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spelling pubmed-79003332021-03-05 Spontaneous splenic rupture, mesenteric ischemia and spinal infarction after aortic repair for acute type A dissection in a patient with sickle cell trait Toyoda, Makoto Kitamura, Tadashi Nakashima, Kouki Matsunaga, Yoshikiyo Nie, Masaki Miyaji, Kagami Gen Thorac Cardiovasc Surg Case Report Sickle cell trait (SCT), a benign hematological condition affecting approximately 300 million individuals globally, is associated with an increased risk of vaso-occlusive disease. However, the risks related to surgery employing cardiopulmonary bypass in patients with SCT are not well established. Herein, we report the case of a 27-year-old African American man with SCT who underwent an emergency aortic repair for acute Stanford type A aortic dissection using hypothermic circulatory arrest. The patient developed a sickle cell crisis, which was followed by spontaneous splenic infarction and rupture, nonocclusive mesenteric ischemia, and spinal infarction. Springer Singapore 2020-10-22 2021 /pmc/articles/PMC7900333/ /pubmed/33090364 http://dx.doi.org/10.1007/s11748-020-01520-1 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Case Report
Toyoda, Makoto
Kitamura, Tadashi
Nakashima, Kouki
Matsunaga, Yoshikiyo
Nie, Masaki
Miyaji, Kagami
Spontaneous splenic rupture, mesenteric ischemia and spinal infarction after aortic repair for acute type A dissection in a patient with sickle cell trait
title Spontaneous splenic rupture, mesenteric ischemia and spinal infarction after aortic repair for acute type A dissection in a patient with sickle cell trait
title_full Spontaneous splenic rupture, mesenteric ischemia and spinal infarction after aortic repair for acute type A dissection in a patient with sickle cell trait
title_fullStr Spontaneous splenic rupture, mesenteric ischemia and spinal infarction after aortic repair for acute type A dissection in a patient with sickle cell trait
title_full_unstemmed Spontaneous splenic rupture, mesenteric ischemia and spinal infarction after aortic repair for acute type A dissection in a patient with sickle cell trait
title_short Spontaneous splenic rupture, mesenteric ischemia and spinal infarction after aortic repair for acute type A dissection in a patient with sickle cell trait
title_sort spontaneous splenic rupture, mesenteric ischemia and spinal infarction after aortic repair for acute type a dissection in a patient with sickle cell trait
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7900333/
https://www.ncbi.nlm.nih.gov/pubmed/33090364
http://dx.doi.org/10.1007/s11748-020-01520-1
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