title: Severe hemolysis after incomplete mitral valve repair.
abstract: We report 2 cases of severe intravascular hemolysis after mitral valve repair using a Duran annuloplasty ring. In both patients residual mitral regurgitation was present, hemolysis was severe enough to warrant a second operation, and hemolysis ceased immediately after the second operation. We believe that a high-velocity regurgitant jet directed toward the cloth-covered annuloplasty ring was responsible for the hemolysis in both patients.
authors.affiliation: Department of Medicine, Good Samaritan Hospital, Cincinnati, Ohio 45220.
authors.forename: J H
authors.initials: JH
authors.lastname: Wilson
authors.forename: R
authors.initials: R
authors.lastname: Rath
authors.forename: R
authors.initials: R
authors.lastname: Glaser
authors.forename: T
authors.initials: T
authors.lastname: Panke
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006350:Heart Valve Prosthesis; D006461:Hemolysis; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000097:blood / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation