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A chronological overview from 1987 to 2018. The patient underwent a pneumonectomy in 1968. In 1987, the first clinical symptoms were manifested due to increasing mitral valve regurgitation. Mitral valve reconstructions were performed in 2000 and 2005. In 2012, the patient received a simultaneous bioprosthetic mitral valve replacement and a TVR. The left ventricular end-systolic diameter is displayed over time, which correlates with the regurgitation. The physical performance is represented by the NYHA classification. LVESD, left ventricular end-systolic diameter in mm; NYHA, New York Heart Association; TVR, tricuspid valve reconstruction.
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An increase in mitral valve (MV) regurgitation was observed starting in 1987 ( Fig. 1 ).
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