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Left ventricular reverse remodeling after successful subannular mitral valve repair in end-stage heart failure: a case report.


ABSTRACT:

Background

Due to ongoing left ventricular (LV) remodeling and consecutive geometric displacement of both papillary muscles, end-stage heart failure is frequently associated with relevant functional mitral regurgitation (FMR) Type IIIb. Treatment strategies of FMR and their prognostic impact are still controversial.

Case summary

We present a case of an 80-year-old patient who suffered from recurrent symptoms of congestive heart failure due to dilated cardiomyopathy and concomitant severe FMR. To specifically address severe tethering of both mitral leaflets heart team decision was to perform minimally invasive mitral valve repair (MVR) including a subannular LV remodeling procedure, instead of an interventional edge-to-edge repair (MitraClip® procedure). In additio

SUBMITTER: Pausch J 

PROVIDER: S-EPMC7319855 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature