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May 20, 1965New England Journal of Medicine

Hemolytic Anemia of Mechanical Origin with Aortic-Valve Prosthesis

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Key result

Insertion of a rigid lucite ball valve resulted in hemolytic anemia due to mechanical trauma to red cells, which was substantially decreased when an elastic silicone valve was used.

Why the study?

Does an elastic silicone valve reduce red-cell destruction compared to a rigid lucite ball valve in dogs?

Population

Dogs with prosthetic materials inserted between the apex of the left ventricle and the thoracic aorta

Comparison

Elastic silicone valve with a resilient housing vs Rigid lucite ball valve

Design

Other

Authors

WDWilliam DeCesareGeorgetown UniversityCRCharles E. RathUniversitätsklinikum AachenCHCharles A. HufnagelCreighton University

Discussion

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Implication

Elastic valves may reduce hemolysis in prosthetic models; leaves open translation to human valve design.

Structured PICO

Does an elastic silicone valve reduce red-cell destruction compared to a rigid lucite ball valve in dogs?

P
Population
Dogs with prosthetic materials inserted between the apex of the left ventricle and the thoracic aorta
E
Exposure
Elastic silicone valve with a resilient housing
C
Comparator
Rigid lucite ball valve
O
Outcome
Red-cell destruction (hemolytic anemia, hemoglobinemia, hemoglobinuria, hemosiderinuria, shortened red-cell life-span)safety

Mechanical trauma from rigid prosthetic valves can cause hemolytic anemia, which may be mitigated by using more resilient materials.

Cite This Study

DeCesare et al. (1965) studied Hemolytic anemia. Lucite ball valve vs. Elastic silicone valve was evaluated on Red-cell destruction. Insertion of a rigid lucite ball valve resulted in hemolytic anemia due to mechanical trauma to red cells, which was substantially decreased when an elastic silicone valve was used.

synapsesocial.com/papers/6a93aaee314706f3c6462c09https://doi.org/10.1056/nejm196505202722003
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