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Intractable Hemolytic Anemia after Mitral Valve Repair: A Report of Three Cases
Author(s) -
Choi Jin Hee,
Park Yong Hyun,
Yun Kyung Won,
Lee Sang Hyun,
Kim Jeong Su,
Kim Jun,
Kim June Hong,
Je HyungGon,
Lee SangKwon,
Chun Kook Jin
Publication year - 2013
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12293
Subject(s) - hemolytic anemia , medicine , hemolysis , mitral valve repair , anemia , mitral valve , mitral valve replacement , cardiology , mitral regurgitation , surgery
Although hemolytic anemia after mitral valve replacement (MVR) is well recognized, hemolytic anemia associated with mitral valve repair is an uncommon condition. Furthermore, persistent and severe hemolytic anemia despite of medical treatment subsequently requiring reoperation is extremely rare. We here report three cases of intractable hemolytic anemia after mitral valve repair leading to MVR . Collision of regurgitant jet into the annuloplasty ring was the speculated mechanism of hemolysis in all cases. After MVR , all of them experienced immediate resolution of the hemolytic anemia.