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Europace Advance Access published online on May 17, 2007
Europace, doi:10.1093/europace/eum069
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

CASE REPORT

Regression of mitral regurgitation after cardiac resynchronization therapy in an adult with preserved left ventricular function and right ventricular pacing

Maxime de Guillebon, Pierre Bordachar* and Jacques Clementy

Hospital Haut Leveque, Service Pr Clementy, University Victor Segalen, Avenue Magellan, Pessac, 33000 Bordeaux, France

We report the case of a 60-year-old patient with preserved ventricular function and no organic mitral leaflet disease implanted with a dual-chamber pacemaker. Right ventricular pacing induced a major ventricular dyssynchrony, a severe mitral regurgitation, and symptoms of congestive heart failure. Upgrading to a biventricular device was associated with a decrease in the symptoms, the ventricular dyssynchrony, and the mitral regurgitation.

Key Words: Biventricular pacing, Mitral regurgitation, Ventricular dyssynchrony

* Corresponding author. Tel: +11 33 5 57 65 65 65; fax: +11 33 5 57 65 65 43. E-mail address: bordacharp{at}hotmail.com

Manuscript submitted 8 February 2007. Accepted after revision 21 March 2007.


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