A surgical case for severe hemolytic anemia after mitral valve repair.
We report a rare case of severe hemolytic anemia accompanied by moderate renal insufficiency after mitral valve repair. Although the degree of the residual mitral regurgitation was less than 1+ during the first three weeks after the operation, the maximum lactate dehydrogenase (LDH) was up to 7,430 U/l and the minimum hemoglobin was 4.9 g/dl. The mitral valve replacement successfully resolved the hemolysis, but the renal function did not completely recover.
Shingu
Yasushige
Y
Division of Thoracic Surgery, Asahikawa City Hospital, Asahikawa, Japan.
Aoki
Hidetoshi
H
Ebuoka
Noriyoshi
N
Eya
Kazuhiro
K
Takigami
Ko
K
Oba
Junichi
J
Fukuhara
Takashi
T
D000743:Anemia, Hemolytic / Q000175:diagnosis / Q000201:enzymology / Q000209:etiology / Q000503:physiopathology*; D017548:Echocardiography, Transesophageal; D006400:Hematocrit; D006801:Humans; D007770:L-Lactate Dehydrogenase / Q000097:blood; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D011183:Postoperative Complications / Q000503:physiopathology*; D012086:Reoperation
D007770:L-Lactate Dehydrogenase