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01-09-2014 | Case Report

Usefulness of transesophageal echocardiography in diagnosis of hemolytic anemia post total aortic arch replacement using the elephant trunk technique

Authors: Akiko Kumagai, Atsushi Tashiro, Akihiko Abiko, Takeshi Kamada, Hitoshi Okabayashi, Motoyuki Nakamura

Published in: Journal of Echocardiography | Issue 3/2014

Abstract

We report a rare case of a patient with hemolytic anemia who underwent emergency total arch replacement using the elephant trunk technique for type A acute aortic dissection 3 years earlier. The 78-year-old woman was referred to our hospital for diagnosis of the cause of the hemolytic anemia, which required twice weekly blood transfusion. Although contrast-enhanced computed tomography could not provide sufficient information, transesophageal echocardiography (TEE) revealed graft flection with high velocity. After percutaneous balloon dilatation, the hemolytic anemia improved and follow-up TEE showed no re-stenosis of the dilatation site.

Neri E, Toscano T, Frati G, et al. The elephant trunk technique: a new complication. Tex Heart Inst J. 2001;28:220–2.PubMedPubMedCentral

Shingu Y, Aoki H, Ebuoka N, et al. A surgical case for hemolytic anemia after ascending and total arch replacement. Ann Thorac Cardiovasc Surg. 2005;11:416–8.PubMed

Tomiyama T, Hosokawa Y, Imura H, et al. Haemolytic anaemia due to stenosed double-reinforced grafts after surgical repaired aortic dissection. Interact CardioVasc Thorac Surg. 2012;15:525–7.PubMedCrossRefPubMedCentral

Title: Usefulness of transesophageal echocardiography in diagnosis of hemolytic anemia post total aortic arch replacement using the elephant trunk technique
Authors: Akiko Kumagai
Atsushi Tashiro
Akihiko Abiko
Takeshi Kamada
Hitoshi Okabayashi
Motoyuki Nakamura
Publication date: 01-09-2014
Publisher: Springer Japan
Published in: Journal of Echocardiography / Issue 3/2014
Print ISSN: 1349-0222
Electronic ISSN: 1880-344X
DOI: https://doi.org/10.1007/s12574-014-0223-3

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Usefulness of transesophageal echocardiography in diagnosis of hemolytic anemia post total aortic arch replacement using the elephant trunk technique

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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