Percutaneous transluminal coronary angioplasty in a patient with paroxysmal nocturnal hemoglobinuria.
Paroxysmal nocturnal hemoglobinuria (PHN) is an acquired chronic hemolytic anemia associated with an unusual susceptibility to hemolytic crisis, infection, and venous thrombosis which would be aggravated by a number of factors including surgery. We report a case of PHN undergoing percutaneous transluminal coronary angioplasty and discuss the corresponding perioperative management.
Fong
P C
PC
University Department of Medicine, Queen Mary Hospital, Hong Kong.
Tai
Y T
YT
Lau
C P
CP
Li
J
J
Yap
F H
FH
Liang
R
R
Lie
A K
AK
D000328:Adult; D000743:Anemia, Hemolytic; D015906:Angioplasty, Balloon, Coronary; D002940:Circadian Rhythm / Q000502:physiology*; D003327:Coronary Disease / Q000097:blood / Q000628:therapy*; D006417:Hematuria / Q000097:blood*; D006452:Hemoglobinometry; D006801:Humans; D008297:Male; D010314:Partial Thromboplastin Time