Abstract:
A 43 year-old woman complained of palpitation and shortness of breath admitted to our
hospital. Transthoracic echocardiography revealed severe mitral stenosis and moderate
mitral regurgitation. In routine blood tests hemoglobin and lactate dehydrogenase levels were
7.6 g/dL, 520 IU/L respectively. Coombs test was negative. After studying the other intrinsic
or extrinsic causes of hemolytic anemia patient’s anemia was diagnosed as intravascular
hemolytic anemia due to tight mitral stenosis. Therefore, mitral valve replacement planned
and performed. Hemolysis was resolved after the mitral valve replacement. In conclusion, we
report a case of hemolytic anemia due to mitral stenosis resolved by mechanical mitral valve
replacement.
