[Chronic hemolysis and mitral insufficiency after surgical mitral valvuloplasty. Treatment by valve replacement, a case report].
The authors report a case featuring a chronic increase in lactic dehydrogenase (LHD) levels, 8 years after surgical mitral valvuloplasty with residual mitral regurgitation. This increase in LDH levels was the sign of chronic haemolysis and disappeared after valve replacement with a mechanical prosthesis. This rare complication was attributed to contact between the sutures and the teflon used for mitral valvuloplasty and turbulence created by the mitral regurgitation.
Blum
J
J
Ancien chef du service de cardiologie de l'hpital Saint-Joseph de Lyon.
Aupetit
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JF
Decary
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D000368:Aged; D002908:Chronic Disease; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006461:Hemolysis; D006801:Humans; D007770:L-Lactate Dehydrogenase / Q000097:blood; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000209:etiology*; D014261:Tricuspid Valve
D007770:L-Lactate Dehydrogenase
Hémolyse chronique et insuffisance mitrale après valvuloplastie mitrale chirurgicale. Guérison par remplacement valvulaire, à propos d'un cas.