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[儿童二尖瓣关闭不全手术修复后的溶血性贫血]

[Hemolytic anemia following surgical repair of mitral valve insufficiency in children].

作者信息

Moreira Neto F F, Evora P R, Ribeiro P J, Sgarbieri R N, de Freitas J N

机构信息

Hospital do Coração de Ribeirão Preto--Fundação Dr. Waldemar B. Pessoa, Ribeiráo Preto, SP.

出版信息

Arq Bras Cardiol. 1990 Jul;55(1):55-8.

PMID:2073162
Abstract

The description of hemolytic anemia after mitral valve repair has been infrequent. The present paper presents this complication, discussing its diagnosis and surgical aspects, such as the association with the use of teflon felt for posterior annuloplasty. This complication happened in two children at our institution, one treated medically with supplementation of folic acid and ferrous sulfate and another requiring surgery for replacement of the teflon felt using a piece of heterologous pericardium for a new annuloplasty and leaflet advancement.

摘要

二尖瓣修复术后溶血性贫血的描述并不常见。本文介绍了这一并发症,讨论了其诊断及手术方面的问题,比如与使用特氟龙毡进行后瓣环成形术的关联。我们机构有两名儿童出现了这一并发症,一名通过补充叶酸和硫酸亚铁进行药物治疗,另一名则需要手术,用一片异体心包替换特氟龙毡,进行新的瓣环成形术和瓣叶前移。

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