[Haemolytic anaemia following implantation of the mitral annuloplasty ring: a case report].
Haemolytic anaemia following mitral annuloplasty is uncommon as compared with mitral valve replacement procedures. A 67-year-old woman, who underwent mitral annuloplasty and CABG, developed haemolytic anaemia. Echocardiographic examination revealed mitral regurgitation jet colliding with mitral ring. The management of these cases usually demands redo surgery. In the presented case, the direction of mild mitral regurgitant jet with respectfully high velocity contributed significantly to the early postoperative haemolysis. Redo surgery with implantation of bioprosthesis caused withdrawal of intravascular haemolysis.
Goździk
Anna
A
Goździk, Klinika Chirurgii Serca AM, ul. M. Skłodowskiej Curie 66, 50-369 Wrocław. annagozdzik@wp.pl
Skalik
Robert
R
Pelczar
Marek
M
Obremska
Marta
M
Kustrzycki
Wojciech
W
D000368:Aged; D000743:Anemia, Hemolytic / Q000209:etiology*; D001705:Bioprosthesis; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000209:etiology* / Q000601:surgery*; D011474:Prosthesis Design / Q000009:adverse effects / Q000295:instrumentation; D011475:Prosthesis Failure; D012086:Reoperation; D016896:Treatment Outcome