Goździk Anna, Skalik Robert, Pelczar Marek, Obremska Marta, Kustrzycki Wojciech
Goździk, Klinika Chirurgii Serca AM, ul. M. Skłodowskiej Curie 66, 50-369 Wrocław.
Kardiol Pol. 2006 Jun;64(6):619-21.
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.
与二尖瓣置换手术相比,二尖瓣环成形术后发生溶血性贫血并不常见。一名67岁接受二尖瓣环成形术和冠状动脉旁路移植术的女性出现了溶血性贫血。超声心动图检查显示二尖瓣反流束与二尖瓣环碰撞。这些病例的处理通常需要再次手术。在本病例中,轻度二尖瓣反流束方向与较高流速对术后早期溶血有显著影响。植入生物假体的再次手术使血管内溶血停止。