Abstract
We report the unusual occurrence of severe intra-vascular haemolysis following mitral valve repair. Mild to moderate mitral regurgitation was detected after repair, but severe haemolysis was the only indication for re-operation. Following prosthetic valve replacement there was an immediate cessation of haemolysis. We postulate that a small regurgitant jet directed against the teflon pledgets used in the repair was the reason for the haemolysis.
MeSH terms
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Aged
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Anemia, Hemolytic / blood
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Anemia, Hemolytic / etiology
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Anemia, Hemolytic / surgery*
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Blood Transfusion
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Echocardiography
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Female
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Hemodynamics
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Humans
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Mitral Valve Insufficiency / diagnosis
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Mitral Valve Insufficiency / physiopathology
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Mitral Valve Insufficiency / surgery*
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Polytetrafluoroethylene / adverse effects
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Postoperative Complications / blood
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Postoperative Complications / etiology
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Postoperative Complications / surgery*
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Reoperation
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Surgical Sponges / adverse effects