Mitral Valve Abnormalities in Pediatric Cardiology at Sheikh Shakhbout Medical City

Mitral valve abnormalities are significant concerns in pediatric cardiology, impacting a child's quality of life and overall health. At Sheikh Shakhbout Medical City (SSMC), the focus is on diagnosing, managing, and treating these conditions effectively.

What are Mitral Valve Abnormalities?

Mitral valve abnormalities refer to various structural issues with the mitral valve, which separates the left atrium from the left ventricle of the heart. These abnormalities can be congenital (present at birth) or acquired due to conditions like rheumatic fever. The most common types include:
  • Mitral Stenosis: A condition where the valve becomes narrowed, impeding blood flow from the left atrium to the left ventricle.
  • Mitral Regurgitation: Occurs when the valve does not close properly, allowing blood to flow backward into the atrium.
  • Mitral Valve Prolapse: Characterized by the bulging of valve leaflets into the atrium during contraction, which can lead to regurgitation.

Causes of Mitral Valve Abnormalities

The causes of mitral valve defects in children can be categorized into two main types:
  1. Congenital Causes: These defects are present from birth and may involve structural anomalies such as thickened or fused leaflets.
  2. Acquired Causes: Conditions such as rheumatic fever can lead to scarring and dysfunction of the mitral valve later in childhood or adulthood.

Symptoms and Diagnosis

Symptoms of mitral valve abnormalities can vary widely based on severity and type. Common symptoms include:
  • Fatigue
  • Difficulty breathing during exertion
  • Palpitations or irregular heartbeats
  • Cyanosis (a bluish tint to lips and skin in severe cases)
Diagnosis typically involves a thorough physical examination followed by imaging studies such as echocardiograms, which provide detailed views of heart structure and function.

Management and Treatment Options

Management strategies for mitral valve abnormalities at SSMC include both surgical and non-surgical approaches:
  • Surgical Interventions: Surgical repair is often preferred over replacement due to better long-term outcomes. Techniques may include:
    • Mitral Valve Repair: Preserving the native valve structure while correcting functional issues.
    • Valve Replacement: In cases where repair is not feasible, a mechanical or biological prosthetic valve may be used.
  • Percutaneous Interventions: Emerging techniques such as percutaneous mitral balloon valvuloplasty offer less invasive options for certain patients.
Mitral valve abnormalities pose significant challenges in pediatric cardiology but can be effectively managed with timely diagnosis and appropriate treatment strategies. Sheikh Shakhbout Medical City is committed to providing comprehensive care tailored to each child's unique needs, ensuring better health outcomes for young patients with these conditions. Regular follow-up care is essential to monitor heart function and manage any complications that may arise over time

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