Intravascular hemolysis after mitral valve repair: a word of caution

The case of a young patient who presented with severe hemolysis aftermitral valve repair is presented. Valve repair included chordal shortening,transposition of chordae tendinae, and annular remodelling using a Duranflexible ring. Reoperation and valve replacement were required to controlhemolytic anemia. The possible mechanisms leading to such an uncommoncomplication after plastic repair of the mitral valve are commented on. Thescanty literature concerned is reviewed.