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Congenital valve diseases are
cardiac valve anomalies that arise prior to birth and are typically
caused by incomplete valve leaflet production, aberrant valve leaflet size,
or changed valve leaflet shape. Although any of the four valves—mitral, aortic,
tricuspid, or pulmonary—can be impacted, these anomalies most frequently affect
the aortic or pulmonary valves.
The valve may be completely
absent or nonfunctional (atresia), fail to open completely (stenosis),
or close completely (regurgitation), depending on the lesion. This interferes
with regular blood flow, making the heart work harder and perhaps
causing chamber enlargement, heart failure, or, in extreme situations,
cyanosis.
Ebstein's abnormality, tricuspid
atresia, pulmonary stenosis, and bicuspid aortic valve are
common congenital valve disorders. While some patients arrive with
cardiac murmurs, exhaustion, dyspnoea, or fainting, many are asymptomatic at
birth and are diagnosed later in childhood or adulthood.
Echocardiography, physical examinations, and occasionally cardiac MRIs or catheterizations are used to make the diagnosis. Depending on the age and severity of the problem, treatment options include balloon valvuloplasty, valve repair, or surgical replacement in addition to routine monitoring and medication management.