# Infant Barlow’s Disease in Association with Atrial Septal Defect

## TL;DR

A seven-year-old girl with rare heart conditions underwent surgery to repair her mitral valve and atrial septal defect.

## Contribution

A case report of mitral valve regurgitation and Barlow’s disease in association with an atrial septal defect, highlighting the rarity and treatment approach.

## Key findings

- Echocardiography confirmed Barlow’s disease and an ostium secundum atrial septal defect.
- The patient underwent successful mitral valvuloplasty and patch atrioseptoplasty.
- Mitral valve repair is emphasized as the preferred treatment for such rare conditions.

## Abstract

Clinical data: Female, seven years old, referred to our service complaining about
congestive heart failure symptoms due to mitral valve regurgitation and atrial
septal defect. Technical description: Echocardiographic findings compatible with
Barlow’s disease and atrial septal defect, ostium secundum type. Operation: She
was submitted to mitral valvuloplasty with chordal shortening and prosthetic
posterior ring (Gregori-Braile®) along with patch atrioseptoplasty.
Comments: Mitral valve regurgitation is a rare congenital heart disease and
Barlow’s disease is probably rarer. Mitral valve repair is the treatment of
choice.