Document Detail

Decreased aortic valve prosthesis-associated haemolysis after changing from haemodialysis to peritoneal dialysis.
MedLine Citation:
PMID:  1436299     Owner:  NLM     Status:  MEDLINE    
We report here a chronic haemodialysis patient who had severe anaemia following replacement of his aortic valve. The investigations confirmed a traumatic valve effect. The surgeons were reluctant to replace the valve because of the high cardiothoracic risk and absence of significant leak or stenosis. Furthermore, the patient refused to consider additional surgery. We changed his modality of dialysis to continuous ambulatory peritoneal dialysis; subsequently, there was a dramatic decrease in his transfusion requirement, and the patient was symptomatically and functionally better. A literature search indicates that this therapeutic response has not been reported before.
K el-Reshaid; M Kapoor; H Shuhaiber
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Publication Detail:
Type:  Case Reports; Comparative Study; Journal Article    
Journal Detail:
Title:  Nephron     Volume:  62     ISSN:  0028-2766     ISO Abbreviation:  Nephron     Publication Date:  1992  
Date Detail:
Created Date:  1992-12-16     Completed Date:  1992-12-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0331777     Medline TA:  Nephron     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  90-2     Citation Subset:  IM    
Al-Amiri Renal Center, Kuwait.
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MeSH Terms
Anemia, Hemolytic / etiology
Heart Valve Prosthesis / adverse effects*
Kidney Failure, Chronic / therapy
Middle Aged
Peritoneal Dialysis, Continuous Ambulatory / adverse effects*
Renal Dialysis / adverse effects*

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