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A surgical case for severe hemolytic anemia after mitral valve repair.
Authors:Yasushige Shingu  Hidetoshi Aoki  Noriyoshi Ebuoka  Kazuhiro Eya  Ko Takigami  Junichi Oba  Takashi Fukuhara
Institution:Division of Thoracic Surgery, Asahikawa City Hospital, Asahikawa, Japan.
Abstract:We report a rare case of severe hemolytic anemia accompanied by moderate renal insufficiency after mitral valve repair. Although the degree of the residual mitral regurgitation was less than 1+ during the first three weeks after the operation, the maximum lactate dehydrogenase (LDH) was up to 7,430 U/l and the minimum hemoglobin was 4.9 g/dl. The mitral valve replacement successfully resolved the hemolysis, but the renal function did not completely recover.
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