Related Experiment Video
Updated: Oct 26, 2025
08:31
A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
4.1K
Paediatric mitral valve disease - from presentation to management
Sashini Iddawela1, Prince Josiah Sajanthan Joseph2, Roshan Ganeshan3
1Department of Cardiology, University Hospitals Birmingham, Birmingham, UK. sashini.iddawela@nhs.net.
European Journal of Pediatrics
|July 26, 2021
Summary
Paediatric mitral valve disease, though rare, poses significant risks. Emerging percutaneous interventions offer new treatment avenues, potentially improving outcomes alongside traditional surgical methods.
Area of Science:
- Cardiology
- Paediatric Cardiovascular Medicine
- Valvular Heart Disease
Background:
- Mitral valve diseases in children are uncommon but lead to significant mortality and morbidity.
- Acquired causes are a primary contributor to paediatric cardiovascular disease burden.
- Diagnosis can occur prenatally, at birth, or later with heart failure symptoms.
Purpose of the Study:
- To review current understanding and emerging trends in paediatric mitral valve disease management.
- To highlight the evolving role of surgical and percutaneous interventions.
- To emphasize the need for further research on intervention outcomes and quality of life.
Main Methods:
- Review of existing literature on paediatric mitral valve disease epidemiology.
- Analysis of current treatment modalities including surgical repair and replacement.
- Evaluation of emerging percutaneous mitral valve interventions.
Main Results:
- Rheumatic disease and congenital defects are predominant causes of paediatric mitral valve disease.
- Mitral valve repair and replacement remain standard treatments, with repair gaining popularity.
- Percutaneous mitral valve interventions are emerging as potential bridge-to-surgery options or definitive treatments for high-risk patients.
Conclusions:
- Mitral valve repair is increasingly favored, but its long-term outcomes need more study.
- Percutaneous mitral balloon valvuloplasty shows promise as a treatment adjunct.
- The impact of interventions on paediatric patients' quality of life warrants further investigation.
More Related Videos
Related Concept Videos
01:26Mitral Stenosis III: Medical Management
58
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
58
01:22Mitral Valve Prolapse II: Assessment and Management
87
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
87
01:25Mitral Regurgitation III: Medical Management
66
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
66
01:27Mitral Stenosis IV: Nursing Management
81
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
81
01:27Mitral Valve Prolapse I: Introduction
87
IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
87
01:23Mitral Stenosis II: Clinical features and Diagnostic Tests
50
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
50