Key result
Mitral valve surgery stabilized the evolution of dilated cardiomyopathy in a child with severe mitral regurgitation, maintaining an asymptomatic state on medical therapy at 8 years of age.
Why the study?
Does mitral valve surgery delay the need for heart transplant in children with severe mitral regurgitation and dilated cardiomyopathy?
Case Report (n=1)
Does mitral valve surgery delay the need for heart transplant in children with severe mitral regurgitation and dilated cardiomyopathy?
Mitral valve surgery may serve as an effective bridge to transplant by stabilizing dilated cardiomyopathy in pediatric patients with severe mitral regurgitation.
May stabilize pediatric dilated cardiomyopathy with severe regurgitation; hypothesis-generating for delaying transplant, needs prospective confirmation.
We report a child with myocardial necrosis, dilated cardiomyopathy, and severe mitral valve (MV) regurgitation following neonatal enteroviral myocarditis. He underwent MV annuloplasty at 18 months and MV replacement at 3 years of age. He remains asymptomatic on medical therapy at 8 years of age. Mitral valve surgery may stabilize the evolution of dilated cardiomyopathy and delay the ultimate need for heart transplant.
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Kobayashi et al. (2012) conducted a case report in Severe mitral regurgitation and dilated cardiomyopathy (n=1). Mitral valve surgery (MV annuloplasty and MV replacement) was evaluated on Symptom status and need for heart transplant. Mitral valve surgery stabilized the evolution of dilated cardiomyopathy in a child with severe mitral regurgitation, maintaining an asymptomatic state on medical therapy at 8 years of age.
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