Abstract
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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