title: Haemolysis following mitral valve repair.
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.
authors.affiliation: Wessex Cardiothoracic Centre, Southampton General Hospital, U.K.
authors.forename: K A
authors.initials: KA
authors.lastname: Dilip
authors.forename: P
authors.initials: P
authors.lastname: Vachaspathy
authors.forename: B
authors.initials: B
authors.lastname: Clarke
authors.forename: D M
authors.initials: DM
authors.lastname: Walker
authors.forename: R D
authors.initials: RD
authors.lastname: Thomas
authors.forename: J L
authors.initials: JL
authors.lastname: Monro
mesh_terms: D000368:Aged; D000743:Anemia, Hemolytic / Q000097:blood / Q000209:etiology / Q000601:surgery*; D001803:Blood Transfusion; D004452:Echocardiography; D005260:Female; D006439:Hemodynamics; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D011138:Polytetrafluoroethylene / Q000009:adverse effects; D011183:Postoperative Complications / Q000097:blood / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D015503:Surgical Sponges / Q000009:adverse effects
chemical_list: D011138:Polytetrafluoroethylene