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经导管缘对缘二尖瓣修复术后亚急性溶血性贫血:病例报告。

Subacute hemolytic anemia after transcatheter edge-to-edge mitral valve repair: A case report.

机构信息

Department of Cardiology and Catheterization Laboratories, Shonan Kamakura General Hospital, Kamakura City, Japan.

出版信息

Catheter Cardiovasc Interv. 2020 May 1;95(6):1230-1234. doi: 10.1002/ccd.28482. Epub 2019 Aug 30.

Abstract

The MitraClip System is extensively used in high-risk patients with symptomatic severe mitral regurgitation (MR). Some studies have identified complications associated with use of the MitraClip. We report the case of a 91-year-old woman with severe MR of a prolapsed posterior commissure. Two weeks after using the MitraClip, she developed hemolytic anemia. She was conservatively treated with blood transfusion and medical treatment; fortunately, her general condition did not deteriorate during the follow-up period. To the best of our knowledge, this is the first report of hemolytic anemia after MitraClip implantation.

摘要

MitraClip 系统广泛应用于有症状的高危重度二尖瓣反流(MR)患者。一些研究已经确定了与使用 MitraClip 相关的并发症。我们报告了一例 91 岁女性,患有脱垂后连合的严重 MR。使用 MitraClip 两周后,她出现溶血性贫血。她接受了输血和药物治疗的保守治疗;幸运的是,在随访期间她的一般情况没有恶化。据我们所知,这是首例使用 MitraClip 后发生溶血性贫血的报告。

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