Shibasaki Ikuko, Kuwata Toshiyuki, Tsuchiya Go, Ogawa Hironaga, Yamada Yasuyuki, Toyoda Shigeru, Inoue Teruo, Fukuda Hirotsugu
Department of Cardiac and Vascular Surgery, Dokkyo Medical University School of Medicine, 880 Kitakobayashi, Mibu, Tochigi, 321-0293, Japan.
Department of Cardiovascular Medicine, Dokkyo Medical University, School of Medicine, Tochigi, Japan.
Gen Thorac Cardiovasc Surg. 2017 Apr;65(4):216-218. doi: 10.1007/s11748-015-0621-0. Epub 2016 Jan 6.
A 56-year-old woman with dilated cardiomyopathy underwent mitral and tricuspid annuloplasty, and simultaneous deployment of an extracorporeal left ventricular assist device (LVAD). Subsequently, she developed hemolytic anemia. Although the LVAD system was repeatedly exchanged and the mitral annular ring was removed, her hemolytic anemia did not improve. Finally, the NIPRO LVAD was replaced with Gyro Pump, and her anemia was ameliorated. It appears important to consider the possibility of hemolytic anemia as a LVAD-related complication, although it would be rare.
一名56岁的扩张型心肌病女性患者接受了二尖瓣和三尖瓣瓣环成形术，并同时植入了体外左心室辅助装置（LVAD）。随后，她出现了溶血性贫血。尽管多次更换LVAD系统并移除了二尖瓣瓣环，但她的溶血性贫血并未改善。最后，将NIPRO LVAD更换为Gyro Pump，她的贫血症状得到了改善。尽管溶血性贫血作为LVAD相关并发症较为罕见，但考虑到这种可能性似乎很重要。
