title: Do all hemolytic anemias that occur after mitral valve repair require surgical treatment?
abstract: We report on a 29-year-old woman with severe hemolytic anemia following mitral valve annuloplasty. Although hemolysis due to mechanical prosthetic mitral valve is well recognized, hemolytic anemia associated with mitral valve repair is an uncommon condition. Reoperation may be considered if the patient has serious and persistent anemia. Although valve replacement is suggested to be a unique intervention, it may not be the solution every time because of mechanical effects. Various mechanisms of hemolysis related to mitral valve repair were suggested, but sufficient and precise data is not available. In this case, we tried to emphasize whether all hemolytic anemias that occur after mitral valve repair require surgical treatment.
authors.affiliation: Department of Internal Medicine, S.B. Dıskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
authors.forename: Askin
authors.initials: A
authors.lastname: Gungunes
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Akpinar
authors.forename: Mehmet
authors.initials: M
authors.lastname: Dogan
authors.forename: Kazim
authors.initials: K
authors.lastname: Baser
authors.forename: Ismail Safa
authors.initials: IS
authors.lastname: Yildirim
authors.forename: Ibrahim C
authors.initials: IC
authors.lastname: Haznedaroglu
mesh_terms: D000328:Adult; D000743:Anemia, Hemolytic / Q000209:etiology / Q000601:surgery*; D001803:Blood Transfusion; D018618:Echocardiography, Doppler, Color; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000295:instrumentation*; D006397:Hematinics / Q000627:therapeutic use; D006801:Humans; D058085:Iron Compounds / Q000627:therapeutic use; D058386:Mitral Valve Annuloplasty / Q000009:adverse effects*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D018579:Patient Selection; D012086:Reoperation; D012720:Severity of Illness Index; D016896:Treatment Outcome
chemical_list: D006397:Hematinics; D058085:Iron Compounds