Journal of Cardiovascular Ultrasound  2007;15(2):63-62

A Case of Hemolytic Anemia Following Mitral Valve Repair.

Myoung Ki OH 1 ; Woo Shik KIM ; Sun Young KIM ; Jong Hyeok PARK ; Sun Ok KWON ; Jong Chun NAH ; Ju Won CHOI ; Wook Hyun CHO ; Yong In KIM ; Suk Koo CHOI

Affiliations

+expand

Keywords

Mitral valve repair; Hemolytic anemia

Country

Republic of Korea

Language

Korean

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.