AI Article Synopsis
- Dilated cardiomyopathy (DCM) involves left ventricular dilation and dysfunction, and it worsens if there is significant mitral regurgitation.
- A 2-year-old girl with a history of viral myocarditis experienced DCM and severe mitral regurgitation, leading to a decision for mitral valve replacement surgery.
- After 3 years of follow-up, the girl showed significant clinical improvement and weight gain, although she continued to have some hospital admissions mainly for managing her anticoagulation therapy.
Article Abstract
Background: Dilated cardiomyopathy (DCM) is characterized by left ventricular dilation and dysfunction. The association with significant mitral regurgitation worsens the prognosis.
Case Report: A 2-year-old girl presented with DCM and severe mitral regurgitation. She had a history of viral myocarditis at the age of 4 months, necessitating recurrent hospital admissions for management of intractable heart failure, pneumonia, and failure to thrive. The decision was taken to proceed for mitral valve surgery, which ended with mitral valve replacement. Over 3 years of follow-up after surgery, there was significant improvement in her weight gain and she improved clinically. There were still recurrent admissions, but mostly for adjustment of her deranged anticoagulation medications.
Conclusion: Mitral valve surgery might be indicated in selected patients with DCM.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7640608 | PMC |
| http://dx.doi.org/10.37616/2212-5043.1017 | DOI Listing |
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