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Nephrology Dialysis Transplantation 2004 19(10):2682-2683; doi:10.1093/ndt/gfh429
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Nephrol Dial Transplant Vol. 19 No. 10 © ERA-EDTA 2004; all rights reserved

Letter

Renal haemosiderosis: an unusual presentation of acute renal failure in a patient following heart valve prosthesis

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Sir,

Heart valve replacement can be complicated by endocarditis, arrhythmias, embolic disease and traumatic intravascular haemolysis due to destruction of erythrocytes. Acute renal failure (ARF) is common shortly after the operation, but is very rare during the later rehabilitation phase. We present a patient with an aortic valve replacement complicated by ARF due to renal haemosiderosis with concurrent urinary tract infection during the rehabilitation period after discharge.

Case. The patient had an aortic valve replacement twice with a mechanical St Jude Medical prothesis at the age of 48 . . . [Full Text of this Article]

Daniel Ackermann, Bruno Vogt, Hans-Peter Marti and Mathias Gugger

1 Laboratoire de Physiologie et Génomique des Cellules Rénales (UMR 7134 CNRS/Université Paris 6) Institut des Cordeliers, Paris, France2 Division of Nephrology and Hypertension3 Department of Pathology University Hospital Inselspital Berne, Switzerland


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