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The Annals of Thoracic Surgery, Vol 58, 876-877, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

Left ventricular outflow tract obstruction and hemolytic anemia after mitral valve repair with a Duran ring

JA Lopez, M Schnee, CM Gaos and S Wilansky
Department of Adult Cardiology, Texas Heart Institute/St. Luke's Episcopal Hospital, Houston.

We report a case of mitral valve repair with a Duran ring that was complicated by left ventricular outflow tract obstruction, mitral regurgitation, and hemolytic anemia. A 59-year-old man with severe mitral valve regurgitation underwent mitral valve repair, including a Duran ring annuloplasty. Postoperatively, left ventricular outflow tract obstruction developed and echocardiography revealed severe systolic anterior motion of the mitral valve. The patient then underwent mitral valve replacement with a 29-mm St. Jude valve.


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