Mitral stenosis reversed by medical treatment for heart failure.

Yukawa, Sawami; Takeuchi, Masaaki; Nakazono, Akemi; Sakamoto, Kyoko; Araya, Kiyoshi; Eto, Masataka; Nishimura, Yosuke; Harada, Masaru et al. · Ann Thorac Surg · 2013

case_report · Level V

Where this comes from

Abstract

It is reported that functional mitral stenosis frequently develops after ring annuloplasty for ischemic mitral regurgitation. The mechanism is a combination of annular size reduction by surgery and diastolic mitral valve tethering, restricting the anterior leaflet opening due to posteriorly displaced papillary muscles with left ventricular dilatation. We report the case of a 57-year-old man who had a history of successful mitral valve plasty for degenerative mitral regurgitation. Four years later he developed heart failure, severe hypertension, mild mitral regurgitation, and significant mitral stenosis, which were reversed by aggressive medical treatment for heart failure.

Medical subject headings