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Mitral valve replacement and tricuspid valve repair in a patient with sickle cell disease
G Lazopoulos1, M M Kantartzis, M Kantartzis
1Department of Cardiac Surgery, Athens Medical Center, Athens, Greece. lazopoulosg@ath.forthnet.gr
Abstract:
Sickle cell disease is a rare entity for the European cardiac surgeon to encounter. Low oxygen tension, acidosis and hypothermia may induce sickling and pose a great risk in this population during open heart surgery. We report the management of a 57-year-old Greek woman with homozygous sickle cell disease and rheumatoid arthritis, who underwent preoperative partial exchange transfusion and subsequent mitral valve replacement and tricuspid valve repair at normothermia.
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