Document Detail


Near fatal hemolysis following repair of ostium primum atrial septal defect.
MedLine Citation:
PMID:  627596     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 15 month old black male who developed near fatal intravascular hemolysis two days after repair of an ostium primum septal defect with a teflon patch is presented. One month after initial operation, reoperation was required for control of hemolysis. At that time a piece of pericardium was placed over the underendothelialized left atrial side of the patch and the mitral cleft was repaired. He initially did well but within several days developed mitral regurgitation. Hemolysis recurred two months postoperatively, but then spontaneously subsided. We propose that the recurrent mitral insufficiency created a defect in the pericardial patch and that caused recurrent hemolysis. Normal endothelial ingrowth probably covered this small defect and hemolysis subsided. Following the second hemolytic episode six months ago, the patient continues to do well.
Authors:
G L Hines; T T Finnerty; E Doyle; O W Isom
Related Documents :
8457116 - Management of airway obstruction in patients with congenital heart defects.
6176816 - Palliative repair of transposition of the great arteries with criss-cross heart: ventri...
1383176 - Current strategies in the nursing care of infants with hypoplastic left-heart syndrome ...
14694956 - Predictors of residual defects following closure of defects in the oval fossa using the...
20413786 - Silencing nox4 in the paraventricular nucleus improves myocardial infarction-induced ca...
15739046 - Plasma homocysteine is a risk factor for recurrent vascular events in young patients wi...
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of cardiovascular surgery     Volume:  19     ISSN:  0021-9509     ISO Abbreviation:  J Cardiovasc Surg (Torino)     Publication Date:    1978 Jan-Feb
Date Detail:
Created Date:  1978-04-26     Completed Date:  1978-04-26     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0066127     Medline TA:  J Cardiovasc Surg (Torino)     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  7-10     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Anemia, Hemolytic / etiology*
Heart Septal Defects, Atrial / surgery*
Humans
Infant
Male
Mitral Valve Insufficiency / complications
Pericardium / transplantation
Postoperative Complications
Transplantation, Autologous

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Involvement of the iliac artery in Buerger's disease (pathogenesis and arterial reconstruction).
Next Document:  Effect of intra-arterial reserpine in patients suffering from Raynaud's phenomenon.