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KMID : 0390620070150020063
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Journal of Cardiovascular Ultrasound
2007 Volume.15 No. 2 p.63 ~ p.65
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A Case of Hemolytic Anemia Following Mitral Valve Repair.
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Oh Myoung-Ki
Kim Woo-Sik
Kim Sun-Young
Park Jong-Hyeok
Kwon Sun-Ok
Nah Jong-Chun
Choi Ju-Won
Cho Wook-Hyun
Kim Yong-In
Choi Suk-Koo
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Abstract
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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.
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KEYWORD
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Mitral valve repair, Hemolytic anemia
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