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Mechanical haemolytic anaemia assessed with four-dimensional flow cardiac magnetic resonance
Author(s) -
Wataru Uchida,
Yoshiyuki Tokuda,
Yasuo Takehara,
Akihiko Usui
Publication year - 2019
Publication title -
european journal of cardio-thoracic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.303
H-Index - 133
eISSN - 1873-734X
pISSN - 1010-7940
DOI - 10.1093/ejcts/ezz031
Subject(s) - medicine , bicuspid aortic valve , cardiology , stenosis , cardiac cycle , magnetic resonance imaging , ascending aorta , aortic valve , cardiac magnetic resonance imaging , aortic arch , aorta , aortic valve replacement , radiology
A 66-year-old woman developed marked haemolytic anaemia 2 years after total aortic arch replacement using a branched Dacron graft. Echocardiography confirmed bicuspid aortic valve stenosis. A four-dimensional flow magnetic resonance imaging revealed a jet flow arising from the aortic valve along with the vortex and turbulent flow inside the kinked prosthetic graft at the ascending aorta. She underwent a reoperation to replace the aortic valve and correct the kinking. The estimated energy loss after intervention was relieved to 2.9 mJ/cardiac cycle from 4.3 mJ/cardiac cycle before intervention. The patient’s anaemia resolved immediately after the reoperation.

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