Occult paravalvular leak in a clinically normal St. Jude's mitral valve presenting with life-threatening microangiopathic hemolytic anemia
Smith, R.E.; Berg, D.
Journal of Cardiovascular Surgery 32(1): 56-58
1991
ISSN/ISBN: 0021-9509 PMID: 2010453 Document Number: 374519
A case of microangiopathic hemolytic anemia associated with a St. Jude Medical prosthetic paravalvular valve leak, not detected by echocardiography or cardiac angiography and requiring thoracotomy for diagnosis and therapy is described. The importance of considering the presence of a paravalvular leak in a patient with MAHA and a prosthetic valve even with a negative invasive cardiac work-up is discussed.
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