A Case of Systolic Anterior Motion After Mitral Valve Repair Causing Hemolytic Anemia: Mechanism and Treatment.

Autor: Rabbani M; Division of Cardiac Surgery, Western University, London, Ontario, Canada. Electronic address: mohamad.rabbani@mail.mcgill.ca., Hafiz A; Division of Cardiac Surgery, Western University, London, Ontario, Canada., Algadheeb M; Division of Cardiac Surgery, Western University, London, Ontario, Canada., Thain A; Division of Cardiology, Western University, London, Ontario, Canada., Kiaii BB; Division of Cardiothoracic Surgery, UC Davis Medical Center, Sacramento, California, USA.
Jazyk: angličtina
Zdroj: The Canadian journal of cardiology [Can J Cardiol] 2020 Dec; Vol. 36 (12), pp. 1977.e5-1977.e8. Date of Electronic Publication: 2020 Jul 17.
DOI: 10.1016/j.cjca.2020.07.008
Abstrakt: Hemolytic anemia after mitral valve repair and ring annuloplasty is uncommon when compared with mitral valve replacement. In this report we present the case of a 67-year-old woman who had undergone mitral valve repair with a Duran band and developed hemolytic anemia. Most patients with severe hemolysis after mitral valve repair undergo reoperation. However, in the present case, the hemolysis was found to be secondary to systolic anterior motion of the mitral valve and left ventricular outflow tract obstruction and was treated without the need for reoperation.
(Copyright © 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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