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J Cardiovasc Ultrasound. 2007 Jun;15(2):63-62. Korean. Case Report. https://doi.org/10.4250/jcu.2007.15.2.63
Oh MK , Kim WS , Kim SY , Park JH , Kwon SO , Nah JC , Choi JW , Cho WH , Kim YI , Choi SK .
Department of Internal Medicine, Inje University Seoul Paik Hospital, Seoul, Korea. kkabee@dreamwiz.com
Department of Cardiothoracic Surgery, Inje University Seoul Paik Hospital, Seoul, Korea.
Abstract

Hemolytic anemia is one of the findings representative of prosthesis dysfunction after valve surgery. A 67-year-old man, who underwent mitral annular ring plasty one week ago, was admitted with shortness of breath and fatigue. Hematological studies revealed a Coombs'-negative hemolytic anemia with a hemoglobin 7.9 g/dl, hematocrit of 17.1%, haptoglobin of 1.0 mg/dl, LDH 5148 U/L, total bilirubin of 3.1 mg/dl (direct of 0.71 mg/dl), and a peripheral blood smear demonstrating mechanical hemolysis with red cell fragmentation. Transesophageal echocardiogram revealed a turbulent jet of mitral regurgitation hitting the annuloplasty ring. The patient returned to the operating room for mitral valve replacement, and thereafter which the hemolytic anemia resolved.

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