A Young Girl with Barely Symptomatic Congenital Mitral Valve Disease

Congenital mitral valve disease or malformation may be isolated or associated with other cardiac anomalies. Mitral valve may affect its different segments during development. This anomaly is due to mitral valve with a single fibrous annulus with two orifices (Double orifices mitral valve) that open into the left ventricle. It may be associated with stenosis and or mitral regurgitation. Here we describe a 17 years young girl with palpitation and shortness of breath on moderate to severe exertion. Examination of the cardiovascular system, chest including precordium revealed no abnormality. She is acyanotic and there is no clubbing. On Trans thoracic Echocardiogram isolated double orifice mitral valve was found with no other associated congenital anomalies. Cardiovasc j 2021; 14(1): 79-81

A teenager with CHD and coronavirus disease 2019

A 16-year-old girl with history of treated congenital mitral valve disease and signs of respiratory infection was admitted to our paediatric cardiology department. She was tested positive for severe acute respiratory syndrome coronavirus 2. Despite her severe pre-existing cardiac conditions with pulmonary hypertension, atrial arrhythmias and mitral valve stenosis, the infection did not lead to any cardiac or pulmonary deterioration. In adults, cardiac co-morbidities are known risk factors for a severe course of coronavirus disease 2019 infections. This case illustrates that in children even severe cardiac disease is not necessarily associated with a severe course of coronavirus disease 2019.