HEMOLYTIC ANEMIA AFTER MITRAL VALVE REPAIR: A CASE REPORT

Abstract

We present a case report of a 52-year-old male who de­veloped hemolytic anemia after undergoing mitral valve repair surgery. Hemolytic anemia is a rare complication of mitral valve repair, occurring in less than 1% of pa­tients. Fragmentation of the mitral regurgitant jet is the leading cause of intravascular hemolytic anemia after the surgery. In this particular case, the jet was following the anterior leaflet and hitting the mitral annulus. The pre­sence of schistocytes and echocardiographic evaluation help diagnose the mechanical origin of hemolysis after mitral valve repair. Hemolytic anemia is managed with blood transfusions and treated with mitral reoperation. In this case, the patient required mechanical mitral valve replacement surgery, and their condition improved fol­lowing the surgery.