title: [Intravascular hemolysis after multiple valvular replacement procedures--a case report].
abstract: A case of an intravascular hemolysis after multiple aortic and mitral valves replacement is described. Hemolysis was observed after second and third operation of mitral valve prosthesis due to prosthesis dysfunction -- paravalvular leak. We discuss the possibilities of treatment, difficulties in decision making in a patient who is in good condition but hemolysis is clinically significant, not amenable to conventional treatment and there is an increased risk of another operation.
authors.affiliation: Klinika Wad Nabytych Serca, Instytut Kardiologii, Warszawa.
authors.forename: Marek
authors.initials: M
authors.lastname: Batogowski
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Religa
authors.forename: Ewa
authors.initials: E
authors.lastname: Orłowska-Baranowska
authors.forename: Janina
authors.initials: J
authors.lastname: Stepińska
mesh_terms: D001021:Aortic Valve / Q000637:transplantation*; D001705:Bioprosthesis; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006461:Hemolysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000637:transplantation*; D016896:Treatment Outcome