title: [Severe hemolytic anemia following purse-string valvuloplasty of the mitral valve].
abstract: A patient who had undergone valvuloplasty for mitral insufficiency due to chordal rupture developed severe hemolytic anemia a few weeks after surgery. Progressive mitral regurgitation was noted at the same time. Extensive laboratory workup excluded other reasons for hemolytic anemia. In comparison with other cases in the literature it is assumed that the patient was suffering from cardiogenic mechanical hemolysis. Fourteen months later mitral valve replacement (St Jude) was performed and the hemolysis ceased promptly. A brief review of the literature is presented.
authors.affiliation: Hämatologisches Zentrallabor und Klinik für Thorax-, Herz- und Gefässchirurgie, Inselspital Bern.
authors.forename: B
authors.initials: B
authors.lastname: Brand
authors.forename: U
authors.initials: U
authors.lastname: Althaus
authors.forename: U
authors.initials: U
authors.lastname: Bucher
mesh_terms: D000368:Aged; D000743:Anemia, Hemolytic / Q000209:etiology*; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D012086:Reoperation
vernacular_title: Schwere hämolytische Anämie nach Raffplastik der Mitralklappe.