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A Journal on Surgery

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Chirurgia 2009 April;22(2):79-82

language: Italian

Prosthetic valve endocarditis presenting with severe anemia. Report of a case

Botta L. 1,2, Kloppenburg G. 2, Yilmaz A. 2

1 Department of Cardiac Surgery, University of Bologna Policlinico S.Orsola-Malpighi, Bologna, Italy
2 Department of Cardiothoracic Surgery St. Antonius Ziekenhuis, Nieuwegein, The Netherlands


Many patients with artificial heart valves have a state of compensated, mild subclinical haemolysis, which does not require treatment. Prosthetic valve endocarditis strongly predisposes to peri-prosthetic leakage, finally resulting in various degrees of anemia. Anemia can worsen because of the presence of other factors, impairing cardiac funcion and or reducing the patient’s functional capacity. Depending on the grade of periprosthetic regurgitation and hemolysis, different treatment options have been proposed. We report the case of a patient admitted in precarious clinical conditions for a severe anemia due to late PVE.

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