Supramitral congenital mitral stenosis: a rare case

Rajkumar M. Meshram, Swapnil Bhongade, Sandeep Chaurasia


Congenital mitral stenosis (CMS) is a rare congenital heart disease and is anatomically divided into typical mitral stenosis, hypoplastic congenital mitral stenosis, supravalvalar mitral stenosis, parachute mitral valve and subvalvar stenosis. A 40 days old male prematurely delivered, very low birth weight was symptomatic since neonatal period was admitted with respiratory distress and not gaining weight. On examination, he had respiratory distress and tachycardia without dysmorphism. He had pansystolic murmur and pulmonary hypertension. Echo cardiography revealed supramitral membrane with mitral stenosis and ventricular septal defect. Clinically congenital mitral stenosis is difficult to diagnose as coexisting intracardiac lesions may mask or unmask the disease.Despite great advances in surgical technique, surgical treatment of CMS is still challenge able particularly in neonates and small infants.

Full Text:



Collins-Nakai RL, Rosenthal A, Castaneda AR et al. Congenital mitral stenosis. A review of 20 years experiences. Circulation 1977;56(6):1039-1047

Moore P, Adartia I, Spevak PJ, Keane JF, Perry SB, Castaneda AR et al. Severe congenital mitral stenosis in infants. Circulation.1994;89(5):2099-2106.

Macartney FJ, Bain HH, Ionescu MI, et al. Angio cardiographic/pathologic correlations in congenital mitral valve anomalies. Eur J Cardiol 1976; 4 (2):191-211

Alghamdi AA, Yadav M,VanArsdell GS. Surgical management of congenital mitral stenosis. Operative Techniques in Thoracic and cardiovascular Surgery 2010; 8(4):273-281.

Venkatesh S, Taksande A, Prabhu SS. Isolated con-genital mitral stenosis. JK Science 2009;11(1):53-54.

Awasthi NA, Marwah A, Sharma R. Congenital mitral stenosis with ventricular septal defect and pulmonary atresia: a rare association. Indian Heart J.2009;61:113-114

Mc Elhinney DB, Sherwood MC, Keane JF, del Nido PJ, Christopher S.D almond, Lock JE. Current management of severe congenital mitral stenosis outcomes of transcatheter and surgical therapy in 108 infants and children. Circulation2005;112(2):707-714.

Atik FA, Duncan BW, Rosenthal GL, Kawase I, Joshi R, Mee Roger BB. Surgical treatment of congenital mitral stenosis: medium term results. Rev Bras Cir Cardiovasc 2003;18(4):312-320.

Hollman A, Hamed M. Mitral Valve Disease with Ventricular Septal Defect. Br Heart J. 1965 Mar;27: 274-85.

Bruce CJ, Nishimura RA. Clinical assessment and management of mitral stenosis. CardiolClin. 1998 Aug; 16(3):375-403.

Baumgartner H, Hung J, Bermejo J, et al. Echo cardiographic assessment of valve stenosis: EAE/ASE recommendations for clinical practice. J Am Soc Echo cardiogr 2009;22(1):1-23.

Séguéla PE, Houyel L, Acar P. Congenital malformations of the mitral valve. Arch Cardiovasc Dis. 2011 Aug;104(8-9):465-79. doi: 10.1016/j.acvd.2011. 06.004. Epub 2011 Aug 30.


  • There are currently no refbacks.