Repeat mitral valve repair for haemolysis in XXXX .

@entity1 @entity339 @entity417 @entity474 @entity299
BACKGROUND: Severe haemolysis is a rare complication after mitral valve repair in @entity299 . AIM: We describe four @entity1 with severe @entity339 who underwent valve repair and subsequently developed profound @entity417 . METHODS: Clinical, echocardiographic and surgical data were collected retrospectively from a surgical centre in France during a 5-year period. RESULTS: Two @entity1 had @entity474 , one @entity1 had @entity339 and one had anomalous left coronary artery from the pulmonary artery with @entity339 . Haemolysis was diagnosed 20 to 75days after surgery, as a result of clinical and biological examination; it was severe, and blood transfusion support was necessary in all cases. Haemolysis was always associated with eccentric @entity339 with a variable degree of severity (from low to severe). After exclusion of other haemolysis aetiology, redo mitral repair surgery was performed successfully in all cases. The haemolysis was considered to be mechanical in origin, caused by regurgitation of blood through the residual @entity339 and stitches. CONCLUSION: Severe haemolysis is a rare complication that can occur after mitral valve repair in @entity299 . All @entity1 underwent successful redo repair and had resolution of haemolysis after surgery. Even if redo surgery is required, iterative mitral repair is possible.
