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Ann Thorac Surg 1994;58:876-877
© 1994 The Society of Thoracic Surgeons

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Articles

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

Department of Adult Cardiology, Texas Heart Institute/St. Luke's Episcopal Hospital, Houston, Texas USA

Accepted for publication December 31, 1993.

^_* Address reprint requests to Dr Wilansky, St. Luke's Medical Tower, 6624 Fannin, Suite 2480, Houston, TX 77030.

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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