title: Repair of mitral periprosthetic leak secondary to severe annular calcification.
abstract: Hemolytic anemia due to a periprosthetic leak is a rare complication of valve replacement that has a poor prognosis. Herein are reported the details of two women (aged 62 and 74 years) who had undergone mitral valve surgery four times each; in both cases, a fifth operation was performed because of hemolytic anemia due to periprosthetic leak. An anterior repair of the leaks was performed instead of re-replacing the valve or standard repair, because the extensively calcified annulus led to sufficient space, and viable tissue was available to place direct sutures. Both patients made a rapid and uneventful recovery, with satisfactory short-term results; however, the long-term outcomes remain uncertain.
authors.affiliation: Department of Cardiovascular Surgery, Jikei University School of Medicine, Tokyo, Japan.
authors.forename: Yoshimasa
authors.initials: Y
authors.lastname: Sakamoto
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Hashimoto
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Okuyama
authors.forename: Shinichi
authors.initials: S
authors.lastname: Ishii
authors.forename: Shingo
authors.initials: S
authors.lastname: Taguchi
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kagawa
authors.forename: Kiyozo
authors.initials: K
authors.lastname: Morita
mesh_terms: D000368:Aged; D000743:Anemia, Hemolytic / Q000209:etiology; D002114:Calcinosis / Q000150:complications*; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D006801:Humans; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000473:pathology / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000473:pathology / Q000601:surgery*; D012086:Reoperation; D012214:Rheumatic Heart Disease / Q000601:surgery