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- Title
Secondary ischemic mitral regurgitation in a young patient - therapeutic approach.
- Authors
Bucsa, Adrian; Radu, Daniela-Noela; Enache, Roxana; Rosca, Monica; Calin, Andreea; Predescu, Lucian; Popescu, Bogdan A.
- Abstract
Secondary ischemic mitral regurgitation (MR) is becoming increasingly frequent nowadays, as ischemic heart disease is more prevalent than before, even at young ages. We present the case of a 33-year-old patient with ischemic heart disease and secondary ischemic MR, whose management plan was established by a Heart Team including cardiologists, interventional cardiologist and cardiac surgeon. Optimal medical therapy and percutaneous myocardial revascularization were the chosen treatment options, with relief of symptoms and mild improvement of MR. Taking into consideration that there is no clear evidence of a certain advantage from a mitral valve intervention in this setting, the chosen strategy in this case was close follow-up of the patient. In conclusion, secondary MR needs to be carefully evaluated; until new studies and evidences emerge regarding the optimal treatment, every case requires a personalized plan of management.
- Subjects
CORONARY disease; MITRAL valve; MYOCARDIAL revascularization; CARDIAC patients
- Publication
Romanian Journal of Cardiology, 2019, Vol 29, Issue 3, p464
- ISSN
1220-658X
- Publication type
Article