Abstract
Cardiac dysfunction, including mitral valve regurgitation and congestive heart failure, can occur in patients with sickle cell disease. However, major surgery poses a greater risk in this population. This paper reports on the management of a patient with sickle cell disease who underwent successful replacement of the mitral valve.
Keywords: mitral valve replacement, sickle cell disease
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References
- 1. Steingart R: Management of patients with sickle cell disease. Med Clin North Am 1992; 76: 669–682 [DOI] [PubMed] [Google Scholar]
- 2. Lane PA: Sickle cell disease. Pediatr Clin North Am 1996; 43: 639–664 [DOI] [PubMed] [Google Scholar]
- 3. Ingram CT, Floyd JB, Santora AH: Aortic and mitral valve replacement after sickle cell crisis. Anesth Analg 1982; 61: 802 [PubMed] [Google Scholar]
- 4. Chun PK, Flannery EP, Bowen TE: Open‐heart surgery in patients with hematologic disorders. Am Heart J 1982; 105: 835–842 [DOI] [PubMed] [Google Scholar]
- 5. Pagani FD, Polito RJ, Bolling SF: Mitral valve reconstruction in sickle cell disease. Ann Thorac Surg 1996; 61: 1841–1843 [DOI] [PubMed] [Google Scholar]
- 6. Kingsley CP, Chronister T, Cohen DJ, Parrish JM, Drew R, Bongiovanni MB: Case 2–1996. Anesthetic management of a patient with hemoglobin SS disease and mitral insufficiency for mitral valve repair. J Cardiothorac Vasc Anesth 1996; 10: 419–424 [DOI] [PubMed] [Google Scholar]
- 7. Vichinsky EP, Haberkern CM, Neumayr L, Earles AN, Black D, Koshy M, Pegelow C. Abboud M, Ohene‐Frempong K, Iyer RV: A comparison of conservative and aggressive transfusion regimens in the perioperative management of sickle cell disease. The Preoperative Transfusion in Sickle Cell Disease Study Group. N Engl J Med 1995; 333: 206–213 [DOI] [PubMed] [Google Scholar]