title: Very early onset traumatic hemolysis following mitral valve repair in a pediatric patient.
abstract: Hemolytic anemia following a mitral valve repair is a very rare complication, with only 70 cases reported worldwide. We present a case of an 8-year-old girl who presented with a very early onset hemolytic anemia following a mitral valve repair with ring annuloplasty, which necessitated a reoperation. The report also discusses the various mechanisms of traumatic hemolysis associated with valve repair and probable lessons learnt and ways to avoid this complication.
authors.affiliation: Department: Pediatric and Congenital Heart Centre, New Age Wockhardt Hospital, Mumbai Central, Mumbai, India.
authors.forename: Abhijeet V
authors.initials: AV
authors.lastname: Naik
authors.affiliation: Department: Pediatric and Congenital Heart Centre, New Age Wockhardt Hospital, Mumbai Central, Mumbai, India. Electronic address: drparag@gmail.com.
authors.forename: Parag S
authors.initials: PS
authors.lastname: Bhalgat
authors.affiliation: Department: Pediatric and Congenital Heart Centre, New Age Wockhardt Hospital, Mumbai Central, Mumbai, India.
authors.forename: Nilesh S
authors.initials: NS
authors.lastname: Bhadane
authors.affiliation: Department: Pediatric and Congenital Heart Centre, New Age Wockhardt Hospital, Mumbai Central, Mumbai, India.
authors.forename: Suresh V
authors.initials: SV
authors.lastname: Joshi
mesh_terms: D000743:Anemia, Hemolytic / Q000097:blood / Q000209:etiology*; D002648:Child; D017548:Echocardiography, Transesophageal; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006454:Hemoglobins / Q000378:metabolism; D006461:Hemolysis; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications; D012720:Severity of Illness Index
chemical_list: D006454:Hemoglobins
keywords: Hemolytic anemia; Repair of valves; Rheumatic heart disease; Valvular heart disease