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.
Abstract