[HSF] Haemolysis after valve repair

[Tea Acuff]

I agree with the consensus or its lack... your description (and theory) of the problem does not match with your findings of investigation of the problem. You need to better clarify.

tea


----- Original Message ----
From: David Harris <drdharris at yahoo.co.uk>
To: OpenHeart-L at lists.hsforum.com
Sent: Thursday, August 16, 2007 5:58:34 AM
Subject: [HSF] Haemolysis after valve repair


Two months ago: Quadrangular resection of P2, and
rigid Edwards ring via mini thoracotomy - completely
intact after discharge home.

After 1 month has a harsh ejection systolic murmer,
and echo shows a small central jet.

Now presents with severe hemolysis, Hb topped up to
11, now it is 8.6 after a week. Macroscopic hematuria.
Echo cannot show any paravalvar leak, again only
central jet. I suspect it is somewhere along P2 suture
line near annulus, for first time for long time put
pledjet stitch on annulus side of resection.

Any tips or comments for next procedure?



Dr. David G. Harris, FCS, MMED,
Cardiothoracic Surgeon        
Suite 207                                
Kuils River Private Hospital,        
PO Box 1200, Kuils River, 7579, Cape Town, South Africa.            
Tel +27-21-9006411             
Fax +27-21-9006412      Mobile +27-83-3309587
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