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The Annals of Thoracic Surgery, Vol 50, 136-137, Copyright © 1990 by The Society of Thoracic Surgeons

ARTICLES

Severe hemolysis after incomplete mitral valve repair

JH Wilson, R Rath, R Glaser and T Panke
Department of Medicine, Good Samaritan Hospital, Cincinnati, Ohio 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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