Tohoku J. Exp. Med., 1997, 181 (3)

Microangiopathic Hemolytic Anemia and Thrombocytopenia in a Child with Atrial Septal Defect and Pulmonary Hypertension

HIROSHI SUZUKI1, MITSURU NAKASATO1, SATOSHI SATO1, SHINKICHI YOKOYAMA1, MICHIHIKO KATSUURA1, SHIGEO YAMAKI2 and KIYOSHI HAYASAKA1

1Department of Pediatrics, Yamagata University School of Medicine, Yamagata 990 - 23, and 2Department of Cardiology, Katta General Hospital, Shiroishi 989 - 02

  • Microangiopathic hemolytic anemia and thrombocytopenia have been reported in patients with primary pulmonary hyper-tension, but not in patients with congenital heart disease even if accompanied with pulmonary hypertension. We present a 7-year-old boy with atrial septal defect and pulmonary hypertension who developed microangiopathic hemolysis and thrombocytopenia. Microangiopathic hemolytic anemia and thrombocytopenia should be remarked as a complication in patients with congenital heart disease.
    Key words--- microangiopathic hemolytic anemia and thrombocytopenia; atrial septal defect; pulmonary hypertension

    Tohoku J. Exp. Med., 1997, 181, 379-384
    Address for reprints: Hiroshi Suzuki, M.D., Department of Pediatrics, Yamagata University School of Medicine, 2-2-2 Iida-Nishi, Yamagata 990-23, Japan.

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