二尖瓣修复术后溶血性贫血1例

EUREKA: Health Sciences Pub Date : 2023-08-01 DOI:10.35988/sm-hs.2023.175

Šarūnas Raudonis, Tautvile Smalinskaite, Jonas Plioplys

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引用次数: 0

摘要

我们报告一位52岁男性在接受二尖瓣修复手术后发生溶血性贫血。溶血性贫血是一种罕见的二尖瓣修复并发症，发生在不到1%的患者。二尖瓣反流喷射破裂是术后血管内溶血性贫血的主要原因。在这个特殊的病例中，喷流沿着前小叶到达二尖瓣环。裂细胞的存在和超声心动图评价有助于诊断二尖瓣修复后溶血的机械起源。溶血性贫血通过输血和二尖瓣再手术治疗。在本例中，患者需要进行机械二尖瓣置换术，手术后病情得到改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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HEMOLYTIC ANEMIA AFTER MITRAL VALVE REPAIR: A CASE REPORT

We present a case report of a 52-year-old male who developed hemolytic anemia after undergoing mitral valve repair surgery. Hemolytic anemia is a rare complication of mitral valve repair, occurring in less than 1% of patients. Fragmentation of the mitral regurgitant jet is the leading cause of intravascular hemolytic anemia after the surgery. In this particular case, the jet was following the anterior leaflet and hitting the mitral annulus. The presence of schistocytes and echocardiographic evaluation help diagnose the mechanical origin of hemolysis after mitral valve repair. Hemolytic anemia is managed with blood transfusions and treated with mitral reoperation. In this case, the patient required mechanical mitral valve replacement surgery, and their condition improved following the surgery.

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来源期刊

EUREKA: Health Sciences

自引率

0.00%

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审稿时长

5 weeks