Infant Barlow's Disease in Association with Atrial Septal Defect
Isaac Azevedo Silva1, Larissa Ales Leite Matos1, Carolina Sant'Anna1
1CardioPedBrasil® - Centro do Coração da Criança at Hospital da Criança e Maternidade São José do Rio Preto, São Paulo, Brazil (FUNFARME/FAMERP).
Insights
Congenital mitral valve regurgitation, particularly Barlow's disease, is rare. This case highlights successful mitral valve repair in a pediatric patient with congestive heart failure.
Area of Science:
- Cardiology
- Pediatric Cardiac Surgery
- Congenital Heart Disease
Background:
- Congenital mitral valve regurgitation is a rare condition.
- Barlow's disease is an even rarer cause of mitral valve regurgitation.
- Atrial septal defects are common congenital heart anomalies.
Observation:
- A 7-year-old female presented with congestive heart failure symptoms.
- Echocardiography revealed mitral valve regurgitation consistent with Barlow's disease and an atrial septal defect (ostium secundum type).
Findings:
- The patient underwent successful mitral valvuloplasty with chordal shortening and prosthetic ring insertion.
- Patch atrioseptoplasty was performed to correct the atrial septal defect.
Implications:
- Mitral valve repair is the preferred treatment for mitral valve regurgitation.
- This case demonstrates the feasibility and success of surgical intervention for rare congenital heart conditions in pediatric patients.
Clinical Data:
Female, seven years old, referred to our service complaining about congestive heart failure symptoms due to mitral valve regurgitation and atrial septal defect. Technical description: Echocardiographic findings compatible with Barlow's disease and atrial septal defect, ostium secundum type.
Operation:
She was submitted to mitral valvuloplasty with chordal shortening and prosthetic posterior ring (Gregori-Braile®) along with patch atrioseptoplasty.
Comments:
Mitral valve regurgitation is a rare congenital heart disease and Barlow's disease is probably rarer. Mitral valve repair is the treatment of choice.
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