A Case of Systolic Anterior Motion After Mitral Valve Repair Causing Hemolytic Anemia: Mechanism and Treatment

Mohamad Rabbani; Ahmed Hafiz; Muhanad Algadheeb; Andrew Thain; Bob B. Kiaii

doi:10.1016/j.cjca.2020.07.008

A Case of Systolic Anterior Motion After Mitral Valve Repair Causing Hemolytic Anemia: Mechanism and Treatment

Mohamad Rabbani, Ahmed Hafiz, Muhanad Algadheeb, Andrew Thain, Bob B. Kiaii

Surgery

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Abstract

Hemolytic anemia after mitral valve repair and ring annuloplasty is uncommon when compared with mitral valve replacement. In this report we present the case of a 67-year-old woman who had undergone mitral valve repair with a Duran band and developed hemolytic anemia. Most patients with severe hemolysis after mitral valve repair undergo reoperation. However, in the present case, the hemolysis was found to be secondary to systolic anterior motion of the mitral valve and left ventricular outflow tract obstruction and was treated without the need for reoperation.

Original language	English (US)
Pages (from-to)	1977.e5-1977.e8
Journal	Canadian Journal of Cardiology
Volume	36
Issue number	12
DOIs	https://doi.org/10.1016/j.cjca.2020.07.008
State	Published - Dec 2020

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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abstract = "Hemolytic anemia after mitral valve repair and ring annuloplasty is uncommon when compared with mitral valve replacement. In this report we present the case of a 67-year-old woman who had undergone mitral valve repair with a Duran band and developed hemolytic anemia. Most patients with severe hemolysis after mitral valve repair undergo reoperation. However, in the present case, the hemolysis was found to be secondary to systolic anterior motion of the mitral valve and left ventricular outflow tract obstruction and was treated without the need for reoperation.",

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AU - Thain, Andrew

AU - Kiaii, Bob B.

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AB - Hemolytic anemia after mitral valve repair and ring annuloplasty is uncommon when compared with mitral valve replacement. In this report we present the case of a 67-year-old woman who had undergone mitral valve repair with a Duran band and developed hemolytic anemia. Most patients with severe hemolysis after mitral valve repair undergo reoperation. However, in the present case, the hemolysis was found to be secondary to systolic anterior motion of the mitral valve and left ventricular outflow tract obstruction and was treated without the need for reoperation.

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