title: Reduction of hemolysis without reoperation following mitral valve repair.
abstract: Hemolytic anemia following mitral valve repair and annular ring placement is uncommon compared with mitral valve replacement. A 60-year-old man, who had undergone mitral valve repair with a Duran ring, developed hemolytic anemia and needed a blood transfusion. Transesophageal echocardiography revealed a paravalvular mitral regurgitation jet colliding with the Duran ring. Most cases of severe hemolysis after mitral valve repair have undergone reoperation, but in the present case study, the hemolysis after mitral valve repair reduced without the need for reoperation, although the paravalvular mitral regurgitation jet continued to collide with the Duran ring.
authors.affiliation: Molecular Genetics of Cardiovascular Disorders, Division of Cardiovascular Medicine, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan. masaru@im2.m.kanazawa-u.ac.jp
authors.forename: Masaru
authors.initials: M
authors.lastname: Inoue
authors.forename: Bunji
authors.initials: B
authors.lastname: Kaku
authors.forename: Hounin
authors.initials: H
authors.lastname: Kanaya
authors.forename: Takio
authors.initials: T
authors.lastname: Ohka
authors.forename: Mikio
authors.initials: M
authors.lastname: Ueda
authors.forename: Seki
authors.initials: S
authors.lastname: Masahiro
authors.forename: Masami
authors.initials: M
authors.lastname: Shimizu
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Mabuchi
mesh_terms: D000743:Anemia, Hemolytic / Q000097:blood / Q000209:etiology* / Q000503:physiopathology*; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D008945:Mitral Valve Prolapse / Q000150:complications* / Q000601:surgery*; D012075:Remission, Spontaneous