Progression and Challenges of Medical Treatment in Severe Functional Mitral Regurgitation: Case Report of 41-Year-Old Woman

Abstract

Introduction: The management of Mitral Regurgitation that still focuses heavily on surgical procedure, proves a challenge in deprived socioeconomic status. Case Presentation: We report a case of an asymptomatic forty-one years old woman referred with severe mitral regurgitation. Initial echocardiography shows that the patient has a severe mitral regurgitation. Later she underwent serial of follow-up echocardiography while administered oral medications for three months. In the latest evaluation she was found to have a significant improvement in lesion. Discussion: Despite the promising result, there is a challenge in early surgical intervention because of the limitation in experienced and advanced surgical centre as a prerequisite. When an adequate facility isn't available, medical treatment could help with the management of the valve insufficiency. However, there is still limited studies regarding the benefit of long-term medical therapy in severe valve insufficiency. Conclusion: Medical therapy for mitral regurgitation could play a role in a setting where an adequate surgical facility is not available and watchful-waiting approach is assigned to the patient.