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DOI: 10.1055/s-2008-1039313
© Georg Thieme Verlag KG Stuttgart · New York
Acute Methemoglobinemia Associated with Ochronotic Valvular Heart Disease: Report of a Case
Publication History
received September 10, 2008
Publication Date:
23 March 2010 (online)
Abstract
We describe the first reported case of acute methemoglobinemia associated with ochronotic valvular heart disease. A 79-year-old man with ochronotic valvular heart disease experienced decreased urinary output starting 9 days after an operation. Thereafter, the patient's methemoglobin concentration acutely increased, indicating systemic cyanosis, while the arterial partial oxygen pressure (PaO2) was maintained at around 200 mmHg. In patients with ochronotic valvular heart disease, acute methemoglobinemia may occur, as in cases of renal failure or oliguresis.
Key words
Cardiovascular surgery - heart valve surgery - heart disease
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Dr. Haruhiko Kondoh, MD
Cardiovascular Surgery
Otemae Hospital
1-5-34, Otemae, Chuo-ku
540-0008 Osaka
Japan
Email: haruhk@wa3.so-net.ne.jp