Dilip K A, Vachaspathy P, Clarke B, Walker D M, Thomas R D, Monro J L
Wessex Cardiothoracic Centre, Southampton General Hospital, U.K.
J Cardiovasc Surg (Torino). 1992 Sep-Oct;33(5):568-9.
We report the unusual occurrence of severe intra-vascular haemolysis following mitral valve repair. Mild to moderate mitral regurgitation was detected after repair, but severe haemolysis was the only indication for re-operation. Following prosthetic valve replacement there was an immediate cessation of haemolysis. We postulate that a small regurgitant jet directed against the teflon pledgets used in the repair was the reason for the haemolysis.
我们报告了二尖瓣修复术后发生严重血管内溶血这一罕见情况。修复术后检测到轻度至中度二尖瓣反流，但严重溶血是再次手术的唯一指征。置换人工瓣膜后溶血立即停止。我们推测，指向修复术中使用的特氟龙棉片的一小股反流喷射是溶血的原因。
