ABSTRACT
Functional mitral regurgitation is a frequent complication of dilated cardiomyopathies. This is a 38-year-old women presented with recurrent symptoms of congestive heart failure. Transthoracic echocardiography revealed global severe left ventricular dysfunction with severe functional mitral valve regurgitation. She underwent a mitral valve restrictive annuloplasty. The follow-up showed an improved of left ventricle dimensions and function.