Open AccessCardiac resynchronisation therapy after percutaneous mitral annuloplasty
Author(s) -
J. Swampillai
Publication year - 2016
Publication title -
world journal of clinical cases
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v4.i5.127
Subject(s) - medicine , cardiology , mitral regurgitation , coronary sinus , functional mitral regurgitation , percutaneous , ischemic cardiomyopathy , cardiomyopathy , cardiac function curve , heart failure , ejection fraction
Percutaneous approaches to reduce mitral regurgitation in ischemic cardiomyopathy have stirred interest recently. Patients with ischemic cardiomyopathy and functional mitral regurgitation often meet criteria for cardiac resynchronisation therapy to improve left ventricular function as well as mitral regurgitation, and alleviate symptoms. This case shows that implantation of a pacing lead in the coronary sinus to restore synchronous left and right ventricular contraction is feasible, despite the presence of a remodeling device in the coronary sinus.