Nishimura Yosuke
   Department   School of Medicine  Cardiovascular Surgery, Clinical Medical Sciences
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