Pakistan
Case Report
Haemolytic Anemia due to Paravalvular Leak Following Mitral and Aortic Valves Replacement
Author(s): Arif Maqsood Ali, Azhar Mehmood Kayani, Muhammad Ali and Agha Babar HussainArif Maqsood Ali, Azhar Mehmood Kayani, Muhammad Ali and Agha Babar Hussain
Background: Paravalvular leak (PVL) can complicate mitral and aortic valves replacement. Most PVLs are often clinically insignificant. However, large leaks can lead to heart failure and infective endocarditis. Intravascular hemolytic anemia is common in small PVLs. Reoperation for closure of PVL is associated with high mortality. Transcatheter closure is less invasive and can be used in high-risk patients.
Case summary: We present a case of a 38-year-old man with a history of Aortic Valve replacement (AVR) and Mitral valve replacement (MVR) who developed hemolytic anemia and haemoglobinurea. The patient was managed initially conservatively but later underwent redo valve surgery after exclusion of other causes of hemolytic anemia. Postoperatively, haemoglobinurea disappeared dramatically whereas anemia resolved gradually after surgery.
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DOI:
10.4172/2329-9517.1000308
Cardiovascular Diseases & Diagnosis received 427 citations as per Google Scholar report