Department of Internal Medicine, S.B. Dıskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
Clin Cardiol. 2010 Dec;33(12):E76-8. doi: 10.1002/clc.20393.
We report on a 29-year-old woman with severe hemolytic anemia following mitral valve annuloplasty. Although hemolysis due to mechanical prosthetic mitral valve is well recognized, hemolytic anemia associated with mitral valve repair is an uncommon condition. Reoperation may be considered if the patient has serious and persistent anemia. Although valve replacement is suggested to be a unique intervention, it may not be the solution every time because of mechanical effects. Various mechanisms of hemolysis related to mitral valve repair were suggested, but sufficient and precise data is not available. In this case, we tried to emphasize whether all hemolytic anemias that occur after mitral valve repair require surgical treatment.
我们报告了一例 29 岁女性在二尖瓣瓣环成形术后发生严重溶血性贫血。尽管机械性人工二尖瓣导致的溶血性贫血已被广泛认识，但与二尖瓣修复相关的溶血性贫血并不常见。如果患者有严重且持续的贫血，可能需要再次手术。尽管瓣膜置换术被认为是一种独特的干预措施，但由于机械效应，它并不总是解决方案。已经提出了与二尖瓣修复相关的各种溶血性贫血机制，但没有足够和精确的数据。在这种情况下，我们试图强调二尖瓣修复后发生的所有溶血性贫血是否都需要手术治疗。
