Persistent Hemolysis after Coil Occlusion of a Patent Ductus Arteriosus in a Patient with Aortic Regurgitation.
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概要
- 論文の詳細を見る
We report a rare case of hemolysis after coil occlusion of a patent ductus arteriosus (PDA), which was treated by surgical removal of the coil and closure of PDA. A 65-year-old woman was admitted to our hospital with congestive heart failure due to severe aortic regurgitation associated with PDA. Before undergoing open heart surgery she underwent closure of the PDA using a Jackson coil as an adjunct of treatment to improve her hemodynamic state. However, a small residual shunt resulted in severe hemolysis. Two weeks after the intervention she underwent aortic valve replacement and PDA closure after removal of the coil through the main pulmonary artery under moderate hypothermia and temporary circulatory arrest. Hemolysis is always secondary to a residual leak and several methods have been reported to manage this complication. Our report suggests that early surgical retrieval of the coil before the organized thrombus is formed, can be safely performed even in an elderly patient whose ductus is usually fragile.
- International Heart Journal刊行会の論文
著者
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Furuse Akira
Department Of Cardiothoracic Surgery University Of Tokyo
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Ono Minoru
Department Of Anesthesiology Kaizuka City Hospital
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Kotsuka Yutaka
Department Of Cardiothoracic Surgery Faculty Of Medicine The University Of Tokyo
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Yagyu Kuniyoshi
Department Of Cardiothoracic Surgery Faculty Of Medicine University Of Tokyo
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KOTSUKA Yutaka
Departments of Cardiothoracic Surgery, University of Tokyo School of Medicine
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ISODA Takayoshi
Departments of Pediatrics, University of Tokyo School of Medicine
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FURUSE Akira
Department of Cardiothoracic Surgery and the Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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FURUSE Akira
Departments of Cardiothoracic Surgery, University of Tokyo School of Medicine
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