A Case of Hemolytic Anemia Following Mitral Valve Repair
Journal of Cardiovascular Ultrasound
; : 63-62, 2007.
Article
in Ko
| WPRIM
| ID: wpr-192422
Responsible library:
WPRO
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.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Operating Rooms
/
Prostheses and Implants
/
Bilirubin
/
Haptoglobins
/
Dyspnea
/
Fatigue
/
Hematocrit
/
Hemolysis
/
Anemia, Hemolytic
/
Mitral Valve
Limits:
Aged
/
Humans
Language:
Ko
Journal:
Journal of Cardiovascular Ultrasound
Year:
2007
Type:
Article