Mitral valve surgery for severe mitral regurgitation and dilated cardiomyopathy--a bridge to transplant: case report and a review of literature.
We report a child with myocardial necrosis, dilated cardiomyopathy, and severe mitral valve (MV) regurgitation following neonatal enteroviral myocarditis. He underwent MV annuloplasty at 18 months and MV replacement at 3 years of age. He remains asymptomatic on medical therapy at 8 years of age. Mitral valve surgery may stabilize the evolution of dilated cardiomyopathy and delay the ultimate need for heart transplant.
Division of Cardiology, Carman and Ann Adams, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, MI 48201-2119, USA. dkobayas@dmc.org
Daisuke
D
Kobayashi
Michael D
MD
Pettersen
Henry L
HL
Walters
Sanjeev
S
Aggarwal
D006328:Cardiac Catheterization; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis / Q000601:surgery* / Q000821:virology; D002648:Child; D002675:Child, Preschool; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D004769:Enterovirus Infections / Q000150:complications / Q000175:diagnosis / Q000821:virology*; D016027:Heart Transplantation; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D058386:Mitral Valve Annuloplasty; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000601:surgery* / Q000821:virology; D009205:Myocarditis / Q000175:diagnosis / Q000821:virology*; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome