Cardiac Resynchronization Therapy After Percutaneous Valve Repair in Functional Mitral Regurgitation Management

Tolga Çi̇men, Tolga Han Efe, Hamza Sunman, Lale Di̇nç Asarcıklı, Ekrem Yeter

Keywords: Mitral regurgitation, percutaneous mitral annuloplasty, cardiac resynchronization therapy

Abstract

We present a case of a 72-year-old female 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 some clinical improvement but patient was still very symptomatic. Six months later, the patient underwent cardiac resynchronisation (CRT) device implantation, resulting in a further improvement in clinical and echo­cardiographic measures of FMR. This case suggests a possible synergistic effect between CRT and percutaneous trans-coronary-venous mitral annuloplasty.