Haemoglobinuria as a sign of prosthetic dysfunction
Keywords:
hemolytic anemia, prosthetic valve dysfunction, transesophageal echocardiographyAbstract
We report a case of 39 years old patient with rheumatic mitral valve disease and who had a prosthetic replacement that is being studied due to a suspicious hematuria. Finally the diagnosis of hemoglobinuria due to intravascu- lar hemolysis has been confirmed and collaboration with the Cardiology department has been requested. In the transthoracic echocardiography and transesophageal echocardiography a severe mitral periprosthetic leak has been noticed. It was decided valve replacement surgery. Hemolysis disappeared finally after the surgical correction of the valve disease. When there is hemolysis after a valve replacement we must suspect of the existence of a periprosthetic leak.
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Copyright (c) 2016 A Pérez-Guerrero, M Lasala-Alastuey, M Povar-Echeverría, C López-Perales, A Juez-Jiménez
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