Key result
Ascending aortic and aortic valve replacement resolves severe functional mitral regurgitation without direct mitral surgery.
Why the study?
Does ascending aortic replacement and aortic valve replacement improve severe mitral regurgitation in a patient with severe aortic insufficiency and normal mitral valve morphology?
Case Report (n=1)
Does ascending aortic replacement and aortic valve replacement improve severe mitral regurgitation in a patient with severe aortic insufficiency and normal mitral valve morphology?
Demonstrates that severe functional mitral regurgitation secondary to severe aortic insufficiency can be reversed by aortic valve replacement alone.
Aortic valve replacement may suffice for severe functional mitral regurgitation due to aortic insufficiency; this case leaves open generalizability.
A 57-year-old male with ascending aortic aneurysm, severe aortic regurgitation, and severe mitral regurgitation (MR) underwent ascending aortic replacement and aortic valve replacement. MR in this patient with normal mitral valve morphology was considered secondary to aortic valve incompetency. Consequently, a surgical approach to restore aortic valve function was adopted with successful MR resolution. This case report demonstrates the possibility of reversing early functional mitral regurgitation without surgically approaching the mitral valve.
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Zeeshan et al. (2016) conducted a case report in Ascending aortic aneurysm, severe aortic regurgitation, and severe mitral regurgitation (n=1). Ascending aortic replacement and aortic valve replacement was evaluated on Resolution of mitral regurgitation. Ascending aortic replacement and aortic valve replacement successfully resolved severe functional mitral regurgitation without requiring a surgical approach to the mitral valve.
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