Decreased Aortic Valve Prosthesis-Associated Haemolysis after Changing from Haemodialysis to Peritoneal Dialysis
作者:
K. El-Reshaid,
M. Kapoor,
H. Shuhaiber,
期刊:
Nephron
(Karger Available online 1992)
卷期:
Volume 62,
issue 1
页码: 90-92
ISSN:1660-8151
年代: 1992
DOI:10.1159/000187002
出版商: S. Karger AG
关键词: Valve prosthesis;Continuous ambulatory peritoneal dialysis;Traumatic valve haemolysis
数据来源: Karger
摘要:
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.
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