Key result
Mitral valve replacement treats severe mixed mitral disease from anomalous mitral arcade in a child.
Why the study?
Mitral arcade is a rare congenital mitral valve anomaly presenting with severe mitral stenosis and regurgitation requiring surgical intervention.
Case Report (n=1)
This case highlights a rare presentation of mitral arcade in a pediatric patient presenting with fatigue and cough, requiring surgical intervention.
Alerts clinicians to mitral arcade in symptomatic children; extends sparse case literature without changing practice.
An 11-year-old girl was admitted to pediatric emergency unit with complaints of fatigue and cough. The patient had no previous complaints. There was no history of rheumatic heart disease. The height and duration of the P-wave was 4 mm and 0.16 seconds, respectively (p mitrale). Echocardiography showed enlarged left atrium (51×61 mm in diameter). Both the anterolateral and posteromedial papillary muscles were directly attached to the anterior and posterior mitral valve leaflets without tendinous chords. The patient was diagnosed with mitral arcade, severe mitral stenosis, and mitral regurgitation. The patient was referred to surgery for replacement of mitral valve.
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Şahin et al. (2017) conducted a case report in Mitral arcade, severe mitral stenosis, and mitral regurgitation (n=1). Mitral valve replacement surgery was evaluated. An 11-year-old girl presenting with fatigue and cough was diagnosed with mitral arcade, severe mitral stenosis, and mitral regurgitation, and referred for mitral valve replacement.
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