title: Mitral stenosis reversed by medical treatment for heart failure.
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.
authors.affiliation: Department of Surgical Pathology, Laboratory and Transfusion Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan.
authors.forename: Sawami
authors.initials: S
authors.lastname: Yukawa
authors.forename: Masaaki
authors.initials: M
authors.lastname: Takeuchi
authors.forename: Akemi
authors.initials: A
authors.lastname: Nakazono
authors.forename: Kyoko
authors.initials: K
authors.lastname: Sakamoto
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Araya
authors.forename: Masataka
authors.initials: M
authors.lastname: Eto
authors.forename: Yosuke
authors.initials: Y
authors.lastname: Nishimura
authors.forename: Masaru
authors.initials: M
authors.lastname: Harada
authors.forename: Robert A
authors.initials: RA
authors.lastname: Levine
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Otsuji
mesh_terms: D006333:Heart Failure / Q000150:complications* / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000150:complications* / Q000188:drug therapy*; D012074:Remission Induction
keywords: 17