A 72-year-old man with ischaemic cardiomyopathy and secondary mitral regurgitation developed heart failure. Due to the absence of options for revascularisation that would improve left ventricular function, poor functional status and a high Euro-SCORE II, the patient was deemed unfit for surgery. Furthermore, a cleft mitral valve also made him unsuitable for MitraClip [1]. To reduce mitral regurgitation he received treatment with a Carillon device for mitral valve annuloplasty in the coronary sinus (Fig. 1; [2]). Unfortunately, this did not reduce MR. In time he developed a left bundle branch block which made him eligible for placement of a cardiac resynchronisation therapy defibrillator (CRT-D) [3].
Fig. 1
a The Carillon device (1) with the right atrial (2) and right ventricular (3) leads; b the Carillon device (1) and the left ventricular epicardial lead (4) in the coronary sinus. This illustrates the possibility of placing a Carillon device and a left ventricular lead in the coronary sinus in the treatment of mitral regurgitation and heart failure
There were no complications and the patient’s functional status improved significantly.
Conflict of interest
C.A. da Fonseca, F.S. van den Brink, M. Feenema, K. Kraaier andT.N. Vossenberg declare that they have no competing interests.
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