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Ann Thorac Surg 1990;50:136-137
© 1990 The Society of Thoracic Surgeons

Articles

Severe hemolysis after incomplete mitral valve repair

John H. Wilson, MD*, Ranjit Rath, MD, Richard Glaser, MD, Thomas Panke, MD

Departments of Medicine, Surgery, and Pathology, Good Samaritan Hospital, Cincinnati, Ohio USA

Accepted for publication January 15, 1990.

* Address reprint requests to Dr Wilson, Good Samaritan Hospital, Department of Cardiology, 3217 Clifton Ave, Cincinnati, OH 45220.

We report 2 cases of severe intravascular hemolysis after mitral valve repair using a Duran annuloplasty ring. In both patients residual mitral regurgitation was present, hemolysis was severe enough to warrant a second operation, and hemolysis ceased immediately after the second operation. We believe that a high-velocity regurgitant jet directed toward the cloth-covered annuloplasty ring was responsible for the hemolysis in both patients.




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