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Traumatic Hemolytic Anemia after Valve Surgery: a Case Report
Feridoun Sabzi1, Aghigh Heydari1, Atefeh Asadmobini1
1Kermanshah University of Medical Sciences, Kermanshah, Iran.
Folia Medica
|January 8, 2021
Summary
Hemolytic anemia is a rare complication following mitral valve repair. Removing a prosthetic ring and replacing the mitral valve resolved the anemia, despite subsequent complications.
Area of Science:
- Cardiology
- Hematology
- Surgical Complications
Background:
- Mitral valve repair, particularly with prosthetic rings, can rarely lead to hemolytic anemia.
- Post-operative hemolytic anemia is an uncommon but serious complication.
- Early identification and management are crucial for patient outcomes.
Observation:
- A 55-year-old male developed hemolytic anemia after mitral valve repair with a prosthetic ring.
- The patient's anemia resolved after the prosthetic ring was removed and the mitral valve was replaced.
- The patient experienced acute renal failure and respiratory dysfunction post-redo surgery.
Findings:
- Successful resolution of hemolytic anemia was achieved through prosthetic ring explantation and mitral valve replacement.
- The patient's hemolytic anemia was ultimately abolished.
- The patient was discharged in good condition 20 days after the redo operation.
Implications:
- This case highlights the potential for prosthetic rings to cause hemolytic anemia after mitral valve repair.
- Surgical intervention, including valve replacement, can effectively treat this complication.
- Management of post-operative complications like renal and respiratory dysfunction is vital for successful recovery.
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