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Intravascular Hemolysis Caused by Stenosis of an Elephant Trunk;Report of a Case

Takamaru, R.; Kawahito, K.; Aizawa, K.; Misawa, Y.

Kyobu Geka. Japanese Journal of Thoracic Surgery 70(7): 514-517

2017

ISSN/ISBN: 0021-5252
PMID: 28698420
Document Number: 694116
Symptomatic intravascular hemolysis after prosthetic aortic graft replacement is rare. It is primarily attributed to mechanical injury of red blood cells caused by stenosis of the vascular graft. A 50-year-old man presented with hemolytic anemia, 5 years after total arch replacement with an elephant trunk for type A aortic dissection. The hemolysis was caused by graft stenosis of the elephant trunk. Endovascular treatment for the stenotic elephant trunk was successfully performed. The postoperative course was uneventful, and the hemolysis was resolved immediately after operation.

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