title: Hemolytic anemia secondary to a porcine mitral prosthetic valve leaflet dissection.
abstract: This is a case of a dissecting cusp of a mitral porcine xenograft causing severe hemolytic anemia in the absence of valvular dysfunction and regurgitation. Six months after valve replacement, the patient had no evidence of hemolytic anemia. A cuspal dissection between the atrial and ventricular membranes was found on histologic evaluation.
authors.affiliation: Department of Surgery, University of Hawaii, John A. Burns School of Medicine, Honolulu 96813, USA.
authors.forename: M R
authors.initials: MR
authors.lastname: Brown
authors.forename: N W
authors.initials: NW
authors.lastname: Hasaniya
authors.forename: C R
authors.initials: CR
authors.lastname: Dang
mesh_terms: D000368:Aged; D000743:Anemia, Hemolytic / Q000209:etiology*; D001705:Bioprosthesis / Q000009:adverse effects*; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000601:surgery*