Key result
Medical therapy with inotropes and diuretics stabilizes neonatal heart failure from hammock mitral valve.
Why the study?
Hammock mitral valve is a rare cause of congenital mitral insufficiency with limited clinical descriptions available.
Case Report (n=1)
Highlights a rare case of congenital mitral regurgitation caused by a hammock mitral valve in a neonate, demonstrating successful initial medical management with inotropes and diuretics.
May support initial medical stabilization in rare neonatal congenital mitral regurgitation; leaves open need for larger studies on long-term management.
Hammock valve, also known as anomalous mitral arcade is a rare mechanism for congenital mitral insufficiency. We report a case of a two-week-old neonate who presented with features of heart failure and an apical systolic murmur. Echocardiogram showed severe mitral regurgitation and abnormal mitral valve with direct attachment of mitral leaflets to papillary muscle without intervening chordae tendinae, typical of hammock valve. Heart failure was controlled with ionotrpes and diuretics. The literature on the hammock mitral valve is reviewed.
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Rajesh et al. (2014) conducted a case report in Congenital mitral regurgitation (Hammock mitral valve) (n=1). Inotropes and diuretics was evaluated on Heart failure control. A two-week-old neonate with severe congenital mitral regurgitation due to a rare hammock mitral valve was successfully managed for heart failure using inotropes and diuretics.
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