title: Mitral valve replacement in calcified annulus following ring annuloplasty.
abstract: We present a patient with persistent severe hemolysis following mitral valve repair which resolved after valve replacement with bioprosthesis. The posterior portion of the annuloplasty ring was retained due to severe calcifications of the posterior mitral valve annulus. All chordae were preserved to avoid disruption of the mitral annulus.
authors.affiliation: Department of Cardiothoracic Surgery, The Prince Charles Hospital, Brisbane, Australia.
authors.forename: Simon
authors.initials: S
authors.lastname: Messer
authors.forename: Pankaj
authors.initials: P
authors.lastname: Saxena
authors.forename: Marcia
authors.initials: M
authors.lastname: Mickelburgh
authors.forename: Homayoun
authors.initials: H
authors.lastname: Jalali
authors.forename: Igor E
authors.initials: IE
authors.lastname: Konstantinov
mesh_terms: D000369:Aged, 80 and over; D000743:Anemia, Hemolytic / Q000097:blood / Q000209:etiology* / Q000601:surgery; D000818:Animals; D001705:Bioprosthesis; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000601:surgery*; D020878:Device Removal; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D006461:Hemolysis; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery*; D011474:Prosthesis Design; D011859:Radiography; D012086:Reoperation; D012720:Severity of Illness Index; D013552:Swine; D016896:Treatment Outcome