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Eur J Cardiothorac Surg 2002;22:1026-1028
© 2002 Elsevier Science NL

Case report

Aortic valve replacement for a patient with warm-reactive autoimmune hemolytic anemia

^a Division of Cardiovascular Surgery, Osaka Minami National Hospital, 2-1 Kido-higashimachi, Kawachinagano, Osaka 586–8521, Japan
^b Division of Internal Blood Medicine, Osaka Minami National Hospital, Kawachinagano, Osaka, Japan

Received 10 March 2002; received in revised form 27 July 2002; accepted 8 September 2002.

* Corresponding author. Tel.: +81-721-53-5761; fax: +81-721-53-8904
e-mail: yhayashi{at}jun.ncvc.go.jp

We treated a 68-year-old woman with warm-reactive type of autoimmune hemolytic anemia (AIHA) who underwent aortic valve replacement. In consideration of the different hemolytic mechanisms between cardiopulmonary bypass and warm-reactive AIHA, conventional surgical procedures could be performed after the discontinuation of steroid therapy.

Key Words: Aortic valve replacement • Autoimmune hemolytic anemia • Warm reactive antibody • Steroid therapy