Left ventricular reverse remodeling after annular-mitral valve repair in end-stage heart failure of dilated cardiomyopathy: A case report

Introduction: There are numerous patients with functional mitral regurgitation resulting from dilated cardiomyopathy. The decision between surgical correction and medical management of severe mitral regurgitation in heart failure is often difficult.Case presentation: This is a 38-year-old women presented with recurrent symptoms of congestive heart failure. Transthoracic echocardiography revealed a dilated cardiomyopathy with global severe left ventricular dysfunction and severe functional mitral valve regurgitation. She underwent a mitral valve restrictive annuloplasty. The follow-up showed an improved of left ventricle dimensions and function.Discussion: The novel annular repair techniques have an obvious potential to improve long-term competence of Mitral Valve Repair. Therefore, they could be considered as a viable therapeutic option in patients presenting with end-stage cardiomyopathy with severe mitral regurgitation.Conclusion: This study demonstrate the reverse left ventricular (LV) remodeling after effective mitral valve repair in advanced dilated cardiomyopathy and its impact on clinical outcome and repair durability.