Aortic and Mitral Valve Insufficiency in Infants - Rare Disease

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Cardiac issues


Hello Doctor, my baby was diagnosed with aortic valve and mitral valve regurgitation a few months after birth.
Now, he is one year and five months old.
Although the condition has not worsened, it still persists.
I wonder if there is a possibility for this condition to improve? Generally speaking, how serious can it be? Thank you very much, Doctor! Lan

Lan, 30~39 year old female. Ask Date: 2009/10/12

Dr. Li Menglun reply Rare Disease


Ping An: Since there are varying degrees of severity in the same disease, the symptoms of the same condition may not necessarily be similar.
Based on your description, it is not possible to directly assess the baby's actual condition.
I recommend that you visit a nearby pediatric cardiologist for an evaluation, as the diagnosis made by the on-site physician will be more accurate.

Reply Date: 2009/10/12

More Info


Aortic and mitral valve insufficiency, also known as regurgitation, occurs when the heart valves do not close properly, allowing blood to flow backward into the heart chambers. In infants, this condition can be particularly concerning, as it may affect their overall heart function and growth.
In your case, your child has been diagnosed with insufficiency of both the aortic and mitral valves. The severity of these conditions can vary significantly from one infant to another. Mild cases may not lead to any significant symptoms or complications, while more severe cases can result in heart failure or other serious health issues.


Understanding Aortic and Mitral Valve Insufficiency
1. Aortic Valve Insufficiency: This occurs when the aortic valve does not close tightly, allowing some blood to flow back into the left ventricle from the aorta. In infants, this can lead to volume overload in the left ventricle, which may cause the heart to work harder than normal. Over time, this can lead to left ventricular dilation and potentially heart failure if not monitored and managed appropriately.

2. Mitral Valve Insufficiency: Similar to aortic valve insufficiency, this condition occurs when the mitral valve does not close properly, allowing blood to flow back into the left atrium from the left ventricle. This can lead to increased pressure in the left atrium and pulmonary circulation, potentially causing symptoms such as difficulty breathing, fatigue, and poor growth.


Prognosis and Management
The prognosis for infants with aortic and mitral valve insufficiency largely depends on the severity of the regurgitation and the presence of any other heart defects. In mild cases, many children can lead normal lives without significant intervention. Regular follow-up with a pediatric cardiologist is crucial to monitor the condition, as some children may outgrow mild insufficiency as their hearts develop.

In cases where the insufficiency is more severe, or if your child begins to show symptoms such as difficulty breathing, poor weight gain, or signs of heart failure, more aggressive management may be necessary. This could include medications to help manage symptoms or, in some cases, surgical intervention to repair or replace the affected valves.


Follow-Up Care
It is essential to maintain regular check-ups with a pediatric cardiologist. These visits will typically include echocardiograms to assess heart function and monitor the valves' condition. The frequency of these visits may vary based on your child's specific situation, but they are generally recommended every six months to a year for children with valve insufficiency.


Conclusion
In summary, while aortic and mitral valve insufficiency can be concerning, many infants with mild forms of these conditions can thrive with appropriate monitoring and care. It is important to stay in close communication with your child's healthcare team to ensure that any changes in their condition are promptly addressed. If you have any concerns about your child's health or development, do not hesitate to reach out to your pediatrician or cardiologist for guidance.

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