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Case Report



Successful Mitral Valve Replacement in Patient with Severe Hemolytic Anemia due to Tight Mitral Stenosis

Baris Akca, Serkan Secici, Ercan Kahraman, Olcay Murat Disli, Mehmet Cengiz Colak, Bektas Battaloglu, Nevzat Erdil.




Abstract

A 43 year-old woman complained of palpitation and shortness of breath admitted to our hospital. Transthoracic echocardiography revealed severe mitral stenosis and moderate mitral regurgitation. In routine blood tests hemoglobin and lactate dehydrogenase levels were 7.6 g/dL, 520 IU/L respectively. Coombs test was negative. After studying the other intrinsic or extrinsic causes of hemolytic anemia patients anemia was diagnosed as intravascular hemolytic anemia due to tight mitral stenosis. Therefore, mitral valve replacement planned and performed. Hemolysis was resolved after the mitral valve replacement. In conclusion, we report a case of hemolyt ic anemia due to mitral stenosis resolved by mechanical mitral valve replacement.

Key words: Hemolytic anemia, acquired, mitral valve stenosis, implantation, heart valve prosthesis






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