Miranda L, Roquette J, Castelão N, Vaz Velho H, Patrício L, Pitta M L, Robalo F, Serra e Melo D, Bento R
Serviço de Cirurgia Cardiotorácica, Hospital de Santa Marta, Lisboa, Portugal.
Rev Port Cardiol. 1993 Jul-Aug;12(7-8):651-6, 601-2.
Valvular cardiac prosthesis have dramatically altered the prognosis of patients with valvular cardiac disease; however, they are not free of complications. Prosthesis disfunction and problems related to anticoagulation are the more common, but hemolytic anemia should also be considered. In this case, hemolytic anemia appears as the major complication of a mitral bioprosthesis; the decision concerning the presentation of this case report rests upon its rarity and peculiar circumstances of appearance. A brief revision of the diagnostic work-up is also made.
心脏瓣膜假体显著改变了心脏瓣膜疾病患者的预后;然而,它们并非没有并发症。假体功能障碍和与抗凝相关的问题较为常见,但也应考虑溶血性贫血。在这种情况下,溶血性贫血表现为二尖瓣生物假体的主要并发症;撰写本病例报告的决定基于其罕见性和特殊的出现情况。本文还对诊断检查进行了简要回顾。