Abstract

INTRODUCTION Hemolysis and valvular heart have been linked for more than 40 years. In 1961, Sayid and associates reported the first case of hemolysis in a patient with ostium primum atrial septal defect and unrepaired mitral cleft.1 Mitral valve repair (MVR ) is now a common management strategy for severe mitral regurgitation, a procedure that carries the rare complication of intravascular hemolysis. Between 1981 and 2004, only 33 patients have been reported to present with hemolytic anemia after MVR.2, 3 We present two of them.

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