Severe functional ischaemic mitral regurgitation: is functional a misnomer for a dysfunctional valve? A case report.

ABSTRACT:

Background

Mitral regurgitation (MR) in the context of left ventricular systolic dysfunction is often designated as functional, with emphasis on the underlying cardiomyopathy leading to malcoaptation of the 'otherwise normal valve'.

Case summary

A 63-year-old male with ischaemic cardiomyopathy (left ventricular ejection fraction 20%) presented with intractable heart failure in need of inotropic support and could not be stepped down from an ICU hospital setting. Functional MR, graded as moderate on transthoracic echocardiography, was initially not considered as pertinent to the clinical condition and options discussed included initiation of dialysis for volume management, chronic inotropic support, and palliative measures. However, a re-examination of the mitral valve by tran

SUBMITTER: Chrissoheris MP 

PROVIDER: S-EPMC10901261 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature