二尖瓣修复不完全后出现严重溶血。
Severe hemolysis after incomplete mitral valve repair.
作者信息
Wilson J H, Rath R, Glaser R, Panke T
机构信息
Department of Medicine, Good Samaritan Hospital, Cincinnati, Ohio 45220.
出版信息
Ann Thorac Surg. 1990 Jul;50(1):136-7. doi: 10.1016/0003-4975(90)90108-i.
PMID:2095752
Abstract
We report 2 cases of severe intravascular hemolysis after mitral valve repair using a Duran annuloplasty ring. In both patients residual mitral regurgitation was present, hemolysis was severe enough to warrant a second operation, and hemolysis ceased immediately after the second operation. We believe that a high-velocity regurgitant jet directed toward the cloth-covered annuloplasty ring was responsible for the hemolysis in both patients.
摘要
我们报告了2例使用杜兰瓣环成形环进行二尖瓣修复术后发生严重血管内溶血的病例。两名患者均存在二尖瓣残余反流，溶血严重到需要进行二次手术，且二次手术后溶血立即停止。我们认为，指向覆盖布的瓣环成形环的高速反流束是导致两名患者溶血的原因。
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