Hiroaki Kato, Noriyuki Kato, Takafumi Ouchi, Takatoshi Higashigawa, Saki Bessho, Yu Shomura, Yasutaka Ichikawa, Hajime Sakuma
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...
November 29, 2023: Vascular and Endovascular Surgery