Nishimura Yosuke    Department   School of Medicine  Cardiovascular Surgery, Clinical Medical Sciences    Position
Article types	case reports
Language	English
Peer review	Peer reviewed
Title	Mitral stenosis reversed by medical treatment for heart failure.
Journal	Formal name：The Annals of thoracic surgery Abbreviation：Ann Thorac Surg ISSN code：15526259/00034975
Volume, Issue, Page	96(5),e115-7頁
Author and coauthor	Yukawa Sawami, Takeuchi Masaaki, Nakazono Akemi, Sakamoto Kyoko, Araya Kiyoshi, Eto Masataka, Nishimura Yosuke, Harada Masaru, Levine Robert A, Otsuji Yutaka
Publication date	2013/11
Summary	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.
DOI	10.1016/j.athoracsur.2013.04.132
PMID	24182508