Matches in SemOpenAlex for { <https://semopenalex.org/work/W2998987910> ?p ?o ?g. }
Showing items 1 to 57 of
57
with 100 items per page.
- W2998987910 abstract "Abstract Hemolytic anemia is an uncommon complication after mitral valve repair. All possible causes should be excluded before making a diagnosis. Echocardiography is an important tool. Transthoracic echocardiography may underestimate the severity and direction of regurgitation jets. Transesophageal echocardiography is the helpful imaging modality helping identify an accurate mechanism. A 55-year-old female with a history of mitral valve repair 5 years earlier presented with shortness of breath for 2 months. She noticed that she had intermittent jaundice and dark urine for 5 months but these symptoms were worsening and persistent for 2 months. She had no fever and abdominal pain. She did not take any medication. The physical examination revealed mark pale conjunctiva and icteric sclera. The apex of heart was palpated at 6th intercostal space lateral to the midclavicular line. The pan-systolic murmur was audible along the mitral valve area. The lung was clear and no pedal edema. Her complete blood count showed hematocrit of 13% with fragmented red blood cell and polychromasia in a blood smear. The level of aspartate transaminase, direct bilirubin, and lactate dehydrogenase was elevated with low haptoglobin level. A chest X-ray showed cardiomegaly without pulmonary edema. The diagnosis of autoimmune hemolytic anemia was made but her symptom was not improved after corticosteroid treatment. Transthoracic echocardiography cannot explain the cause of hemolytic anemia, so the transesophageal echocardiography was performed. The echocardiography revealed severe mitral regurgitation and paravalvular leak. The turbulent flow was seen across the mitral annuloplasty ring. She underwent mitral valve replacement to treat her symptoms. After an operation, her symptoms were significantly improved without any jaundice. The hemolytic anemia was resolved. This case demonstrated an important role of transesophageal echocardiography, especially in post heart valve surgery patient. Although hemolytic anemia after mitral valve surgery is rare, it should be considered in every hemolytic anemia patient without other explainable causes. An accurate diagnosis is a crucial role in treatment. Abstract 503 Figure." @default.
- W2998987910 created "2020-01-23" @default.
- W2998987910 creator A5053067440 @default.
- W2998987910 creator A5057488124 @default.
- W2998987910 creator A5061612473 @default.
- W2998987910 creator A5084787340 @default.
- W2998987910 date "2020-01-01" @default.
- W2998987910 modified "2023-09-26" @default.
- W2998987910 title "503 Unlocking the mystery of haemolytic anaemia after mitral valve repair" @default.
- W2998987910 doi "https://doi.org/10.1093/ehjci/jez319.267" @default.
- W2998987910 hasPublicationYear "2020" @default.
- W2998987910 type Work @default.
- W2998987910 sameAs 2998987910 @default.
- W2998987910 citedByCount "0" @default.
- W2998987910 crossrefType "journal-article" @default.
- W2998987910 hasAuthorship W2998987910A5053067440 @default.
- W2998987910 hasAuthorship W2998987910A5057488124 @default.
- W2998987910 hasAuthorship W2998987910A5061612473 @default.
- W2998987910 hasAuthorship W2998987910A5084787340 @default.
- W2998987910 hasBestOaLocation W29989879101 @default.
- W2998987910 hasConcept C126322002 @default.
- W2998987910 hasConcept C141071460 @default.
- W2998987910 hasConcept C164705383 @default.
- W2998987910 hasConcept C2776175824 @default.
- W2998987910 hasConcept C2777543888 @default.
- W2998987910 hasConcept C2777693794 @default.
- W2998987910 hasConcept C2778248108 @default.
- W2998987910 hasConcept C2778704086 @default.
- W2998987910 hasConcept C2993373945 @default.
- W2998987910 hasConcept C71924100 @default.
- W2998987910 hasConceptScore W2998987910C126322002 @default.
- W2998987910 hasConceptScore W2998987910C141071460 @default.
- W2998987910 hasConceptScore W2998987910C164705383 @default.
- W2998987910 hasConceptScore W2998987910C2776175824 @default.
- W2998987910 hasConceptScore W2998987910C2777543888 @default.
- W2998987910 hasConceptScore W2998987910C2777693794 @default.
- W2998987910 hasConceptScore W2998987910C2778248108 @default.
- W2998987910 hasConceptScore W2998987910C2778704086 @default.
- W2998987910 hasConceptScore W2998987910C2993373945 @default.
- W2998987910 hasConceptScore W2998987910C71924100 @default.
- W2998987910 hasLocation W29989879101 @default.
- W2998987910 hasOpenAccess W2998987910 @default.
- W2998987910 hasPrimaryLocation W29989879101 @default.
- W2998987910 hasRelatedWork W11345128 @default.
- W2998987910 hasRelatedWork W13076227 @default.
- W2998987910 hasRelatedWork W14152494 @default.
- W2998987910 hasRelatedWork W17424244 @default.
- W2998987910 hasRelatedWork W20614364 @default.
- W2998987910 hasRelatedWork W2380588 @default.
- W2998987910 hasRelatedWork W5884540 @default.
- W2998987910 hasRelatedWork W602375 @default.
- W2998987910 hasRelatedWork W8253705 @default.
- W2998987910 hasRelatedWork W926751 @default.
- W2998987910 isParatext "false" @default.
- W2998987910 isRetracted "false" @default.
- W2998987910 magId "2998987910" @default.
- W2998987910 workType "article" @default.