• Mitral Stenosis—Child

    (Mitral Valve Stenosis—Child)


    Mitral stenosis is a narrowing of the mitral valve in the heart. The mitral valve is in the left side of the heart between the upper and lower chambers of the heart. When working properly, the valve helps to keep blood flowing in the right direction from the upper to the lower chambers.
    Mitral stenosis makes it difficult for blood to move from the upper and lower chambers. This means there is less blood for the lower chamber to pump out to the body. The blood can also back up in the upper chamber and push back into the lungs.
    Mitral Valve Stenosis
    Nucleus factsheet image
    Copyright © Nucleus Medical Media, Inc.


    The most common cause of mitral stenosis is rheumatic fever . This infection may develop after strep throat or scarlet fever. It can scar the heart valves. Mitral stenosis may develop 5-10 years after this infection occurs.
    Less common or rare causes include:
    • Birth defect
    • Blood clots
    • Tumors
    • Infective endocarditis
    • Other growths that block blood flow through the mitral valve

    Risk Factors

    The main risk factor for mitral stenosis is rheumatic fever. Other risk factors may include:
    • Being born with mitral valve problems
    • Having other health problems that affect blood flow in the heart


    Symptoms are caused by the problems with blood flow and may include:
    • Difficulty breathing, especially during exercise and when lying flat
    • Waking up short of breath in the middle of the night
    • Tiredness
    • Sensation of rapid or irregular heartbeat
    • Cough with exertion
    • Coughing up blood
    • Swelling of the legs or feet
    • Frequent respiratory infections
    • Lightheadedness, fainting
    • Chest pain, like squeezing, pressure, or tightness (rare)


    You will be asked about your child’s symptoms and medical history. A physical exam will be done.
    Images may be taken of your child's heart. This can be done with:
    Your child's heart function may also be tested with:


    If your child has mild mitral stenosis, immediate treatment may not be needed. Your child's condition will be monitored to look for potential problems. Other treatment options include:


    Certain medications may be given to improve heart function. The medications may help control the heart's rhythm and prevent the build up of fluid in the body.
    Antibiotics may be needed to treat certain infections.


    Your child may need surgery to prevent heart damage. Common types of heart valve surgery include:
    • Mitral valvulotomy—A surgical cut is made in the stenotic mitral valve to allow the valve to open wider
    • Balloon valvuloplasty —A balloon is inflated in the valve to stretch out the surrounding tissue. This may provide temporary relief of symptoms, but the valve may become blocked again.
    • Mitral valve replacement—the valve is replaced with a mechanical or tissue valve

    Complication Management

    There are several steps your child can take to avoid some of the complications of mitral stenosis:
    • Get regular medical care. This includes basic checkups and heart tests.
    • Take antibiotics before any dental cleaning, dental work, or other invasive procedures if it is recommended by your doctor. Not all patients with mitral stenosis need antibiotics for these procedures.
    • Eat a healthy diet that is low in salt. Work with the doctor or dietitian to plan a healthy diet for your child. This may help decrease the pressure in your child’s heart and improve symptoms.
    • Monitor blood pressure. Inform the doctor if your child seems to be developing high blood pressure .


    Most cases of mitral stenosis can be prevented by preventing rheumatic fever:
    • Treat strep throat infections right away to avoid rheumatic fever, which can cause scarring of the heart valve.
    • Always make sure your child finishes all of the antibiotics given, even if symptoms improve.


    American Heart Association http://www.heart.org

    National Heart, Lung, and Blood Institute http://www.nhlbi.nih.gov


    Canadian Cardiovascular Society http://www.ccs.ca

    Canadian Family Physician http://www.cfp.ca


    Mitral stenosis. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T115920/Mitral-stenosis. Updated March 31, 2016. Accessed September 29, 2016.

    Mitral valve abnormalities. Seattle Children’s Hospital website. Available at: http://www.seattlechildrens.org/medical-conditions/heart-blood-conditions/mitral-valve-abnormalities-symptoms/. Accessed November 3, 2014.

    Shipton B, Wahba H. Valvular heart disease: review and update. Am Fam Physician. 20011;63:2201.

    Revision Information

  • LiveWell personal health survey

    How healthy are you really? Find out – free.Learn more

    It's time to stop guessing. If you want to make some changes but just aren't sure how, the free personal health survey from LiveWell is a great place to start.

  • HeartSHAPE Spotlight

    At risk for a heart attack? Learn more

    Fight heart disease and prevent heart attacks. HeartSHAPE® is a painless, non-invasive test that checks pictures of your heart for early-stage coronary disease.

  • Calories and Energy Needs

    Calorie NeedsLearn more

    How many calories do you need to eat each day to maintain your weight and fuel your physical activity? Enter a few of your stats into this calculator to find out.

  • Ideal Body Weight

    Ideal Body WeightLearn more

    Using body mass index as a reference, this calculator determines your ideal body weight range. All you need to do is enter your height.

  • Body Mass Index

    Body Mass IndexLearn more

    This tool considers your height and weight to assess your weight status.

  • Can we help answer your questions?

    Wellmont Nurse Connection is your resource for valuable health information any time, 24 hours a day, seven days a week. Speak to a Nurse any time, day or night, at (423) 723-6877 or toll-free at 1-877-230-NURSE.