A Case of Hemolytic Anemia Following Mitral Valve Repair.
- Author:
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
Author Information
1. Department of Internal Medicine, Inje University Seoul Paik Hospital, Seoul, Korea. kkabee@dreamwiz.com
- Publication Type:Case Report
- Keywords:
Mitral valve repair;
Hemolytic anemia
- MeSH:
Aged;
Anemia, Hemolytic*;
Bilirubin;
Dyspnea;
Fatigue;
Haptoglobins;
Hematocrit;
Hemolysis;
Humans;
Mitral Valve Insufficiency;
Mitral Valve*;
Operating Rooms;
Prostheses and Implants
- From:Journal of Cardiovascular Ultrasound
2007;15(2):63-62
- CountryRepublic 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.
