Vol 71, No 12 (2013)
Case studies
Published online: 2013-12-13
Cardiac resynchronisation therapy after percutaneous trans-coronary-venous mitral annuloplasty
DOI: 10.5603/KP.2013.0326
Kardiol Pol 2013;71(12):1293-1294.
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.
Keywords: cardiac resynchronisationmitral regurgitationpercutaneous mitral annuloplasty