title: Cardiac resynchronisation therapy after percutaneous trans-coronary-venous mitral annuloplasty.
abstract: We present a case of a 45-year-old man with symptomatic heart failure and ischaemic functional mitral regurgitation (FMR), who underwent a successful percutaneous trans-coronary venous mitral annuloplasty with the Carillon system. The procedure resulted in clinical improvement as well as in a decrease in the degree of MR as assessed by echocardiography. Fifteen months later, the patient underwent cardiac resynchronisation (CRT) device implantation, resulting in a further improvement in echocardiographic measures of FMR. This case not only confirms the feasibility of CRT after percutaneous trans-coronary-venous mitral annuloplasty, but also suggests a possible synergistic effect of both therapies, warranting future clinical trials.
authors.affiliation: Department of Interventional Cardiology, HCP Medical Centre, Poznan University of Medical Sciences, Poznan, Poland. tomasz.siminiak@usoms.poznan.pl.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Siminiak
authors.forename: Olga
authors.initials: O
authors.lastname: Jerzykowska
authors.forename: Piotr
authors.initials: P
authors.lastname: Kalmucki
authors.forename: Rafał
authors.initials: R
authors.lastname: Link
authors.forename: Artur
authors.initials: A
authors.lastname: Baszko
mesh_terms: D058406:Cardiac Resynchronization Therapy; D004452:Echocardiography; D005240:Feasibility Studies; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery; D058386:Mitral Valve Annuloplasty / Q000379:methods*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D011182:Postoperative Care / Q000379:methods; D016896:Treatment Outcome