[Mitral and aortic valve replacement with tricuspid annuloplasty in a patient suffering from hereditary spherocytosis].
A 51-year-old woman was admitted with increasing shortness of breath. Preoperative evaluation disclosed MSr + ASr + TR. She had been undergone a splenectomy at 35-year-old for hereditary spherocytosis (HS). The patient underwent successful mitral valve replacement with a No. 25 Björk-Shiley (BS) valve, aortic valve replacement with a No. 21 BS valve, and tricuspid valve annuloplasty by means of membrane oxygenator (COBE). Haptoglobin and poloxamer 188 were used for prevention of hemolysis during extracorporeal circulation. No significant hemolysis occurred intra-or postoperatively. A very rare case of open heart surgery associated with HS was reported.
Second Department of Surgery, Miyazaki Medical College, Japan.
T
T
Onitsuka
K
K
Nakamura
M
M
Kuwabara
T
T
Yonezawa
K
K
Shibata
Y
Y
Koga
D001021:Aortic Valve; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve; D013103:Spherocytosis, Hereditary / Q000150:complications* / Q000601:surgery; D013156:Splenectomy; D014261:Tricuspid Valve / Q000601:surgery*