Case Report Severe Mechanical Hemolysis Following Transcatheter Closure of Patent Ductus Arteriosus [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 1993; 21(4): 268-270

Case Report Severe Mechanical Hemolysis Following Transcatheter Closure of Patent Ductus Arteriosus

Ümrah AYDOĞAN1, Aygün DİNDAR1, Zeynep ALTINEL1, PRof.Talat CANTEZ1

Severe mechanical hemolysis occurred after transcatheter occlusion of a patent ductus arteriosus by Rashkind's double umbrella technique. Hemolysis manifested itself by a drop the first day of the hematocrit from 35 to 30 percent (and later to 28 %), accompanied by reticulocytosis, fragmentation of errythrocytes, hemoglobinuria and jaundice. Multiple packed red blood cell transfusions were applied and hemolysis disappeared on the 33rd day of intervention. We think that progressive clot formation around the device may have smoothened the rough surface of the occluder and invasive intervention could thus have been avoided in such a complication.

Keywords: Ductus arteriosus patency, hemoglobinuria, transcatheter occlusion

How to cite this article
Ümrah AYDOĞAN, Aygün DİNDAR, Zeynep ALTINEL, PRof.Talat CANTEZ. Case Report Severe Mechanical Hemolysis Following Transcatheter Closure of Patent Ductus Arteriosus. Turk Kardiyol Dern Ars. 1993; 21(4): 268-270
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