Mitral stenosis reversed by medical treatment for heart failure.
Mitral stenosis reversed by medical treatment for heart failure.
复制标题
通过心力衰竭的药物治疗逆转二尖瓣狭窄。
DOI:
10.1016/j.athoracsur.2013.04.132
复制
发表时间:
2013
期刊:
影响因子:
--
通讯作者:
Otsuji,Yutaka
中科院分区:
文献类型:
--
作者:
Yukawa,Sawami;Takeuchi,Masaaki;Nakazono,Akemi;Sakamoto,Kyoko;Araya,Kiyoshi;Eto,Masataka;Nishimura,Yosuke;Harada,Masaru;Levine,RobertA;Otsuji,Yutaka
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.