Do all hemolytic anemias that occur after mitral valve repair require surgical treatment?

Clin Cardiol. 2010 Dec;33(12):E76-8. doi: 10.1002/clc.20393.

Abstract

We report on a 29-year-old woman with severe hemolytic anemia following mitral valve annuloplasty. Although hemolysis due to mechanical prosthetic mitral valve is well recognized, hemolytic anemia associated with mitral valve repair is an uncommon condition. Reoperation may be considered if the patient has serious and persistent anemia. Although valve replacement is suggested to be a unique intervention, it may not be the solution every time because of mechanical effects. Various mechanisms of hemolysis related to mitral valve repair were suggested, but sufficient and precise data is not available. In this case, we tried to emphasize whether all hemolytic anemias that occur after mitral valve repair require surgical treatment.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anemia, Hemolytic / etiology
  • Anemia, Hemolytic / surgery*
  • Blood Transfusion
  • Echocardiography, Doppler, Color
  • Female
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Hematinics / therapeutic use
  • Humans
  • Iron Compounds / therapeutic use
  • Mitral Valve Annuloplasty / adverse effects*
  • Mitral Valve Insufficiency / diagnostic imaging
  • Mitral Valve Insufficiency / surgery*
  • Patient Selection
  • Reoperation
  • Severity of Illness Index
  • Treatment Outcome

Substances

  • Hematinics
  • Iron Compounds