Multiple organ failure after mitral valve repair with intravascular hemolysis and its recovery due to mitral valve replacement.

Abstract:

:We present a patient with evidence of severe intravascular hemolysis after mitral valve repair, an established method for the surgical treatment of mitral valve disease to avoid prosthesis related complications. The coincidence of this uncommon complication with hemodynamic instability due to pre-existing myocardial dysfunction and Gram-negative pneumonia promoted the development of simultaneous dysfunction of liver, kidney and the cardio-respiratory system. Elimination of the source of hemolysis by re-operation with mitral valve replacement on the ninth postoperative day allowed prompt recovery from severe organ dysfunction. Free hemoglobin may have perpetuated progressive organ failure in our patient.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Seyr M,Hasibeder W,Furtwaegler W,Antretter H,Mutz NJ

doi

10.1007/BF01694714

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

358-60

issue

6

eissn

0342-4642

issn

1432-1238

journal_volume

19

pub_type

杂志文章
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    pub_type: 杂志文章,多中心研究,随机对照试验

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    journal_title:Intensive care medicine

    pub_type: 杂志文章

    doi:10.1007/BF00717989

    authors: van den Berg B,Stam H

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    pub_type: 杂志文章

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    pub_type: 杂志文章,评审

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    pub_type: 杂志文章

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