Abstract
PVL is the flow of blood through a track between the native cardiac tissue and the implanted valve and it can complicate mitral and aortic valves replacement. Patients with PVL may experience varying clinical repercussion from absence of symptoms to congestive heart failure and /or significant hemolysis with hemolytic anemia. PVLs are more frequently diagnosed by Transesophageal echocardiography than transthoracic echocardiography due to its ability to detect minute jets of regurgitated blood. Reoperation for closure of PVL is associated with high mortality. Transcatheter closure is less invasive and can be used in high-risk patients. We present a case of a 67-year-old woman with a history of Aortic and mitral Valves replacement who developed hemolytic anemia and haemoglobinurea. The patient was managed initially conservatively but later underwent redo valve surgery after exclusion of other causes of hemolytic anemia. Post operatively her level of hemoglobin and her urine routine examination were normal.
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