Restoration of normal left ventricular geometry after percutaneous mitral annuloplasty: Case report and review of literature
| Autor: | Muhammad Adil Soofi, Faisal Alsamadi |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Orthopnea
medicine.medical_specialty Percutaneous macromolecular substances Mitral valve Internal medicine medicine Radiology Nuclear Medicine and imaging cardiovascular diseases Mitral regurgitation Left bundle branch block business.industry musculoskeletal neural and ocular physiology Dilated cardiomyopathy General Medicine medicine.disease Surgery medicine.anatomical_structure nervous system Ventricle cardiovascular system Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business Paroxysmal Nocturnal Dyspnea |
| Zdroj: | Catheterization and Cardiovascular Interventions. 86:E107-E110 |
| ISSN: | 1522-1946 |
| DOI: | 10.1002/ccd.25689 |
| Popis: | Surgical mitral valve intervention is not considered suitable in patients with severe functional mitral regurgitation due to severe dilated cardiomyopathy and severe systolic dysfunction. In such patients percutaneous mitral valve intervention is the next best alternative. We are presenting case report of a patient who presented with severe dyspnea progressing to orthopnea and paroxysmal nocturnal dyspnea. He was found to have severe functional mitral regurgitation and severe left ventricle systolic dysfunction. Surgical mitral intervention was not considered suitable and percutaneous mitral annuloplasty was done. At one month follow-up significant improvement in symptoms were noted with improvement in severity of mitral regurgitation severity. At 6 months follow-up further improvement in symptoms were noted along with significant improvement in the severity of mitral regurgitation and normalization of left ventricle geometry. At 1 year follow-up his symptoms further improved, left ventricle geometry remained normal and mitral regurgitation severity remained mild to moderate. Our case demonstrate that in patient with severe LV systolic dysfunction, severe mitral regurgitation and left bundle branch block percutaneous mitral annuloplasty can obviate the need for CRT-D due to significant improvement in LV function and geometry along with regression in severity of mitral regurgitation. Improvement in mitral regurgitation severity and LV geometry started early and kept improving with excellent result at 6 and 12 months. |
| Databáze: | OpenAIRE |
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