Hing J X, Macys A, Elshiekh M A, Momin A, Koertzen M, Punjabi P P
1Monash University, Melbourne, Australia.
Perfusion. 2014 Mar;29(2):184-6. doi: 10.1177/0267659113505638. Epub 2013 Sep 16.
We present a case of severe haemolysis post mitral valve repair that presented within the first week of operation. Despite assurance of a good repair, with initial postoperative echocardiographic evidence, the patient subsequently developed haemolysis and required forty units of blood over three months. We emphasize that an unexplained anaemia post mitral valve repair should trigger suspicion for mechanical haemolysis and suggest disease progression or failure of repair.
我们报告一例二尖瓣修复术后第一周内出现严重溶血的病例。尽管手术修复效果良好，术后初期超声心动图也有相关证据，但患者随后仍发生了溶血，在三个月内需要输注40单位血液。我们强调，二尖瓣修复术后不明原因的贫血应引发对机械性溶血的怀疑，并提示疾病进展或修复失败。
