A Case of Hemolytic Anemia Following Mitral Valve Repair
Journal of Cardiovascular Ultrasound
; : 63-62, 2007.
Article
em Ko
| WPRIM
| ID: wpr-192422
Biblioteca responsável:
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.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Salas Cirúrgicas
/
Próteses e Implantes
/
Bilirrubina
/
Haptoglobinas
/
Dispneia
/
Fadiga
/
Hematócrito
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Hemólise
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Anemia Hemolítica
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Valva Mitral
Limite:
Aged
/
Humans
Idioma:
Ko
Revista:
Journal of Cardiovascular Ultrasound
Ano de publicação:
2007
Tipo de documento:
Article