A Case of Hemolytic Anemia Following Mitral Valve Repair
Journal of Cardiovascular Ultrasound
;
: 63-62, 2007.
Article
in Korean
| WPRIM
| ID: wpr-192422
ABSTRACT
Hemolytic anemia is one of the findings representative of prosthesis dysfunction after valve surgery. A 67-year-old man, who underwent mitral annular ring plasty one week ago, was admitted with shortness of breath and fatigue. Hematological studies revealed a Coombs'-negative hemolytic anemia with a hemoglobin 7.9 g/dl, hematocrit of 17.1%, haptoglobin of 1.0 mg/dl, LDH 5148 U/L, total bilirubin of 3.1 mg/dl (direct of 0.71 mg/dl), and a peripheral blood smear demonstrating mechanical hemolysis with red cell fragmentation. Transesophageal echocardiogram revealed a turbulent jet of mitral regurgitation hitting the annuloplasty ring. The patient returned to the operating room for mitral valve replacement, and thereafter which the hemolytic anemia resolved.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Operating Rooms
/
Prostheses and Implants
/
Bilirubin
/
Haptoglobins
/
Dyspnea
/
Fatigue
/
Hematocrit
/
Hemolysis
/
Anemia, Hemolytic
/
Mitral Valve
Limits:
Aged
/
Humans
Language:
Korean
Journal:
Journal of Cardiovascular Ultrasound
Year:
2007
Type:
Article
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