37. Restoration of normal left ventricular geometry after percutaneous mitral annuloplasty – Case report and review of literature
| Autor: | Faisal Alsamadi, Muhammad Adil Soofi |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
lcsh:Diseases of the circulatory (Cardiovascular) system
medicine.medical_specialty Orthopnea Mitral regurgitation Percutaneous business.industry musculoskeletal neural and ocular physiology Dilated cardiomyopathy macromolecular substances medicine.disease Surgery medicine.anatomical_structure nervous system lcsh:RC666-701 Ventricle Internal medicine Mitral valve cardiovascular system Cardiology Medicine cardiovascular diseases medicine.symptom business Mitral Annuloplasty Paroxysmal Nocturnal Dyspnea |
| Zdroj: | Journal of the Saudi Heart Association, Vol 27, Iss 4, p 314 (2015) |
| ISSN: | 1016-7315 |
| DOI: | 10.1016/j.jsha.2015.05.218 |
| 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 six 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 one 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 LBBB 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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