Mr. Brown et al., HEMOLYTIC-ANEMIA SECONDARY TO A PORCINE MITRAL PROSTHETIC VALVE LEAFLET DISSECTION, The Annals of thoracic surgery, 59(6), 1995, pp. 1573-1574
This is a case of a dissecting cusp of a mitral porcine xenograft caus
ing severe hemolytic anemia in the absence of valvular dysfunction and
regurgitation. Six months after valve replacement, the patient had no
evidence of hemolytic anemia. A cuspal dissection between the atrial
and ventricular membranes was found on histologic evaluation.