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Heart Valve Abnormalities

The heart is made up of 4 interconnected chambers that pumps both oxygenated and de-oxygenated blood. Two of the heart’s chambers are responsible for transporting oxygen rich blood throughout the entire body via the aorta. The other two chambers are responsible for pumping oxygen poor blood to the lungs in order to pick up oxygen and get rid of carbon dioxide. All four chambers of the heart have heart valves that open and close in rhythm with the beats of the heart to move blood easily through the heart. These heart valves include the mitral valve, aortic valve, pulmonic valve, and the tricuspid valve. All four heart valves can be abnormal from congenital heart disease (meaning present since birth) or from acquired disease (meaning acquired through life).

Symptoms

The symptoms of heart valve abnormalities are dependent on age. Congenital heart disease can lead to poor weight gain in infants, fast breathing, fast heart rate, sweating with feeds, and poor oxygen saturation. Congenital heart diseases are often found in infancy.

Symptoms of valvular disease in adults may be more difficult to recognize. Symptoms typically occur very slowly and over time as the valve becomes more and more diseased. The most common first noticeable symptom is shortness of breath with minor exercise. Chest pain, dizziness and swelling in the legs may be another symptom that can be attributed to valvular disease.

Types of Heart Valve Abnormalities

There are three main types of heart valve abnormalities. These include regurgitation, stenosis and atresia.

  • Regurgitation – Regurgitation occurs when one of the 4 heart valves does not close or seal correctly. This leads to back flow of blood across the valve’s normal gradient, which leads to an insufficient valve. Blood flow should flow forward with its normal pressure gradient, but if a valve becomes weak and insufficient, then blood can flow back against its pressure gradient and leak into the wrong chamber. For example, the most common valve to develop regurgitation is the mitral valve. The mitral valve lies between the left atrium and left ventricle. With mitral valve regurgitation, blood flow can flow back into the left atrium when it is all supposed to be flowing into the left ventricle. With severe regurgitation, blood flow can flow back against its normal gradient so greatly that it can lead to heart failure.
  • Stenosis – Stenosis of a valve occurs when the opening of the valve becomes too small. This type of valvular abnormality can be congenital heart disease or an acquired disease. Stenosis leads to difficulty of blood flowing through the stenotic valve, which causes the heart to pump harder against the stenotic valve. This may lead to increased pressure in the heart and difficulty with the pumping function of the heart, leading to heart failure.
  • Atresia – Atresia is the one valvular abnormality that is always considered a congenital heart disease. It occurs if one of the heart valves does not form properly during fetal development. This often leads to a complete loss of a heart valve. The most common type of atresia is tricuspid valve atresia. The tricuspid valve lies between the two right chambers of the heart, the right atrium and right ventricle. With tricuspid valve atresia, there is no longer a valve lying between the right atrium and right ventricle, meaning that blood cannot flow between the two chambers. This causes blood to be backed up into other chambers of the heart and leads to eventual heart failure.

Reference Articles

Treatment

The treatment of valvular diseases whether they are congenital or acquired is surgery. To prevent heart failure and blood pressure issues, patients must have surgery to fix or replace their diseased valve. Medications may also be used to combat heart failure and blood pressure issues.

Heart valve abnormalities are very common. They can affect patients of all ages, and lead to a variety of symptoms based on the valve that is affected and the age of the patient. They can be treated though once diagnosed properly with imaging.

 
 
 

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