Wong, M.H.; Chee, K.H.; Azman, W. (2009) Symptomatic anaemia 17 years after double valve replacement. Singapore medical journal, 50 (10). pp. 362-4. ISSN 0037-5675
Full text not available from this repository. (Request a copy)Abstract
A 40-year-old Malay woman presented with increasing lethargy, palpitation and shortness of breath, 17 years after a mitral and aortic valve replacement. A Starr-Edwards prosthetic valve replaced the mitral valve, and a Bjork-Shiley prosthetic valve replaced the aortic valve. Biochemical parameters demonstrated intravascular haemolysis, as evidenced by haemoglobin 7.8 g/dL, reticulocyte count 8.4%, lactate dehydrogenase 2,057 IU/L and low haptoglobulin levels (less than 6 mg/dL). Transoesophageal echocardiography revealed a paravalvular leakage over the mitral valve. The haemoglobin levels remained persistently low despite frequent blood transfusions. She successfully underwent a second mitral valve replacement. Her anaemia resolved subsequently.
| Item Type: | Article |
|---|---|
| Creators: | |
| Journal or Publication Title: | Singapore medical journal |
| Additional Information: | Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur 50603, Malaysia. |
| Uncontrolled Keywords: | Adult; Anemia/diagnosis; Anemia/etiology |
| Subjects: | R Medicine |
| Divisions: | Faculty of Medicine |
| Depositing User: | Mr. Faizal Hamzah |
| Date Deposited: | 05 May 2011 09:46 |
| Last Modified: | 05 May 2011 09:46 |
| URI: | http://eprints.um.edu.my/id/eprint/1176 |
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