CONGENITAL DOUBLE-ORIFICE MITRAL-VALVE - A CASE-REPORT

A three-year-old girl was admitted to Hacettepe Children's Hospital du e to sweating and poor feeding. Echocardiography demonstrated ostium p rimum atrial septal defect with a cleft mitral valve, After two months of medical follow-up with digitalis, she was subjected to open-heart surgery, and a primum-type atrial septal defect with double mitral ori fice was found. To avoid cresting acute mitral stenosis, the cleft was only partially sutured and the septal defect was closed with a patch. Her postoperative recovery was uneventful. It is emphasized that surg ical intervention should be individualized in each case.