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  • Title: Intractable hemolytic anemia after mitral valve repair: a report of three cases.
    Author: Choi JH, Park YH, Yun KW, Lee SH, Kim JS, Kim J, Kim JH, Je HG, Lee SK, Chun KJ.
    Journal: Echocardiography; 2013 Oct; 30(9):E281-4. PubMed ID: 23822715.
    Abstract:
    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.
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