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Ann Thorac Surg. 2013 Nov;96(5):e115-7. doi: 10.1016/j.athoracsur.2013.04.132.

Mitral stenosis reversed by medical treatment for heart failure.

Author information

1
Department of Surgical Pathology, Laboratory and Transfusion Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.

Abstract

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.

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17

PMID:
24182508
PMCID:
PMC4281521
DOI:
10.1016/j.athoracsur.2013.04.132
[Indexed for MEDLINE]
Free PMC Article

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