Haemolysis following mitral valve repair.
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.
Dilip
K A
KA
Wessex Cardiothoracic Centre, Southampton General Hospital, U.K.
Vachaspathy
P
P
Clarke
B
B
Walker
D M
DM
Thomas
R D
RD
Monro
J L
JL
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
D011138:Polytetrafluoroethylene