Red Blood Cell Fragmentation Syndrome After Placement of MitraClip

Abstract

An 87-year-old woman with a history of trastuzumab-induced left ventricular dysfunction underwent the MitraClip (Abbott Vascular, Santa Clara, California) procedure for myxomatous mitral regurgitation. She presented a month later with severe intravascular hemolytic anemia, attributed to the MitraClip. She underwent surgical mitral valve replacement and had resolution of hemolysis. (Level of Difficulty: Advanced.)

Keywords

• echocardiography
• hemolysis
• insufficiency
• MitraClip
• mitral valve
• valve repair