BackgroundThe classical elephant trunk (ET) technique is a very useful surgical procedure; however, haemolysis in the aorta associated with ET has been previously reported. It normally occurs within several years after the surgery, and it is a rare case of rapidly progressing haemolysis 10 or more years after aortic arch replacement with ET.Case presentationA 53-year-old man with a history of Stanford type A aortic dissection (DeBakey type Is), who was treated with total arch aortic replacement and aorto-femoral bypass using a prosthetic graft 17 years ago, developed severe progressive haemolytic anaemia. The ET used for the initial surgery was narrowed, and mechanical haemolysis was suspected. We assumed that progressive mechanical haemolysis occurred because of degeneration of the prosthetic graft. Thoracic endovascular aortic repair was performed, and haemolysis and anaemia were mitigated postoperatively.ConclusionsHaemolysis occurred 17 years after the initial surgery with ET. When haemolysis is suspected in a patient with ET, it must be identified as a cause of haemolysis even if 10 years or more have passed since the ET was inserted. To prevent this complication, attention should be paid to an appropriate ET length and diameter to avoid folding of the ET, particularly when the true cavity diameter is small.
机构:
Guangzhou Univ Chinese Med, Guangdong Prov Hosp Chinese Med, Affiliated Hosp 2, Dept Cardiovasc Surg, Guangzhou, Peoples R ChinaGuangzhou Univ Chinese Med, Guangdong Prov Hosp Chinese Med, Affiliated Hosp 2, Dept Cardiovasc Surg, Guangzhou, Peoples R China
Wang, Chaojie
Zhang, Wenqian
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Southern Med Univ, Nanfang Hosp, Dept Crit Care Med, Guangzhou, Peoples R ChinaGuangzhou Univ Chinese Med, Guangdong Prov Hosp Chinese Med, Affiliated Hosp 2, Dept Cardiovasc Surg, Guangzhou, Peoples R China
Zhang, Wenqian
Wang, Ge
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Guangzhou Univ Chinese Med, Guangdong Prov Hosp Chinese Med, Affiliated Hosp 2, Dept Cardiovasc Surg, Guangzhou, Peoples R ChinaGuangzhou Univ Chinese Med, Guangdong Prov Hosp Chinese Med, Affiliated Hosp 2, Dept Cardiovasc Surg, Guangzhou, Peoples R China
Wang, Ge
Zou, Zengxiao
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Guangzhou Univ Chinese Med, Guangdong Prov Hosp Chinese Med, Affiliated Hosp 2, Dept Cardiovasc Surg, Guangzhou, Peoples R ChinaGuangzhou Univ Chinese Med, Guangdong Prov Hosp Chinese Med, Affiliated Hosp 2, Dept Cardiovasc Surg, Guangzhou, Peoples R China
Zou, Zengxiao
Xu, Wenliu
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Guangzhou Univ Chinese Med, Guangdong Prov Hosp Chinese Med, Affiliated Hosp 2, Dept Cardiovasc Surg, Guangzhou, Peoples R ChinaGuangzhou Univ Chinese Med, Guangdong Prov Hosp Chinese Med, Affiliated Hosp 2, Dept Cardiovasc Surg, Guangzhou, Peoples R China
Xu, Wenliu
Fan, Xiaoping
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Guangzhou Univ Chinese Med, Guangdong Prov Hosp Chinese Med, Affiliated Hosp 2, Dept Cardiovasc Surg, Guangzhou, Peoples R ChinaGuangzhou Univ Chinese Med, Guangdong Prov Hosp Chinese Med, Affiliated Hosp 2, Dept Cardiovasc Surg, Guangzhou, Peoples R China
机构:
Yale Sch Med, Dept Surg, Div Cardiac Surg, 333 Cedar St, New Haven, CT 06510 USAYale Sch Med, Dept Surg, Div Cardiac Surg, 333 Cedar St, New Haven, CT 06510 USA
Fereydooni, Soraya
Amabile, Andrea
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Yale Sch Med, Dept Surg, Div Cardiac Surg, 333 Cedar St, New Haven, CT 06510 USAYale Sch Med, Dept Surg, Div Cardiac Surg, 333 Cedar St, New Haven, CT 06510 USA
Amabile, Andrea
Nassiri, Naiem
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Yale Sch Med, Dept Surg, Div Vasc & Endovascular Surg, New Haven, CT 06510 USA
Yale New Haven Hosp, Aort Inst, New Haven, CT USAYale Sch Med, Dept Surg, Div Cardiac Surg, 333 Cedar St, New Haven, CT 06510 USA
Nassiri, Naiem
Vallabhajosyula, Prashanth
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Yale Sch Med, Dept Surg, Div Cardiac Surg, 333 Cedar St, New Haven, CT 06510 USA
Yale New Haven Hosp, Aort Inst, New Haven, CT USAYale Sch Med, Dept Surg, Div Cardiac Surg, 333 Cedar St, New Haven, CT 06510 USA
Vallabhajosyula, Prashanth
JOURNAL OF VASCULAR SURGERY CASES INNOVATIONS AND TECHNIQUES,
2023,
9
(01):
机构:
Paul L Foster Sch Med, Internal Med, El Paso, TX USAPaul L Foster Sch Med, Internal Med, El Paso, TX USA
Changlani, Nikita
Panjiyar, Binay K.
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Harvard Med Sch, Cardiol, Boston, MA USA
Calif Inst Behav Neurosci & Psychol, Internal Med, Fairfield, CA USA
Harvard Med Sch, Res, Boston, MA USA
Texas Tech Univ, Ventolinis Lab, Hlth Sci Ctr, Odessa, TX USAPaul L Foster Sch Med, Internal Med, El Paso, TX USA
Panjiyar, Binay K.
Jha, Saroj K.
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Tribhuvan Univ, Teaching Hosp, Internal Med, Kathmandu, NepalPaul L Foster Sch Med, Internal Med, El Paso, TX USA
Jha, Saroj K.
Khan, Sanam W.
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Combined Mil Hosp, Lahore Med Coll, Internal Med, Lahore, PakistanPaul L Foster Sch Med, Internal Med, El Paso, TX USA
Khan, Sanam W.
Kaushal, Akshita
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Dr Rajendra Prasad Govt Med Coll, Internal Med, Kangra, IndiaPaul L Foster Sch Med, Internal Med, El Paso, TX USA
Kaushal, Akshita
Cherukuru, Sreeja
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Sri Venkateshwaraa Med Coll, Psychiat, Tirupati, IndiaPaul L Foster Sch Med, Internal Med, El Paso, TX USA
Cherukuru, Sreeja
Mahendru, Diksha
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Crozer Chester Med Ctr, Internal Med, Upland, PA USAPaul L Foster Sch Med, Internal Med, El Paso, TX USA
Mahendru, Diksha
Kaleem, Safa
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Shadan Inst Med Sci, Med, Hyderabad, IndiaPaul L Foster Sch Med, Internal Med, El Paso, TX USA