title: An unusual presentation of hemolytic anemia in a patient with prosthetic mitral valve.
abstract: Although rare, periprosthetic valvular regurgitation can cause hemolytic anemia. We present the case of a 63-year-old man who had an unusual presentation of hemolytic anemia due to periprosthetic mitral valve regurgitation (PMVR) in the presence of cold agglutinins. Due to high surgical risk, PMVR was percutaneously closed with three Amplatzer devices under the guidance of three-dimensional transesophageal echocardiography.
authors: Division of Cardiovascular Diseases, Mayo Clinic, Scottsdale, Arizona 85259, USA.
authors: Mohammad Q
authors: MQ
authors: Najib
authors: Karyne L
authors: KL
authors: Vinales
authors: Harshita R
authors: HR
authors: Paripati
authors: Madappa N
authors: MN
authors: Kundranda
authors: Riccardo
authors: R
authors: Valdez
authors: Charanjit S
authors: CS
authors: Rihal
authors: Hari P
authors: HP
authors: Chaliki
mesh_terms: D000743:Anemia, Hemolytic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000517:prevention & control*; D017548:Echocardiography, Transesophageal / Q000379:methods; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods; D016896:Treatment Outcome