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Congenital Unguarded Mitral Orifice C0344769

Published: July 22, 2026Updated: August 25, 2026

A rare congenital heart defect where the mitral valve is absent or severely malformed, allowing abnormal blood flow. Lifethreatening without surgical intervention.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 25, 2026Editorial policy

Key facts at a glance

ICD-10
I78.0
ICD-11
BA00.0
Body system
cardiovascular
Severity
critical
Chronic
true

Signs and symptoms

Common signs and symptoms that may indicate this condition.

Warning signs - seek immediate care

!

Chest discomfort or palpitations

Symptoms may be severe and require urgent medical attention.

Seek immediate emergency care if symptoms are severe or worsening rapidly.

!

Heart failure

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Dyspnea

!

Pulmonary edema

Cardiomegaly

(cardiovascular)

Diagnosis and tests

How this condition is diagnosed and what test results mean.

Initial screening tests

1

Standard diagnostic workup

Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]

Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]

Treatment options

Evidence-based approaches to managing this condition.

First-line treatments

1

Disease management and monitoring

Requires immediate emergency medical intervention. Do not delay treatment.

procedure
2

Mitral valve repair or replacement

Surgical intervention to reconstruct or replace the absent or deficient mitral valve using mechanical or biological prostheses, typically requiring cardiopulmonary bypass.

surgical
3

Serial echocardiographic surveillance

Regular cardiac imaging to assess ventricular function, valve competence, and pulmonary pressures, typically performed every 3-6 months or as clinically indicated.

monitoring

Additional treatment options

Diuretic therapy

Loop diuretics and potassium-sparing agents to manage fluid overload and reduce pulmonary congestion associated with mitral valve dysfunction.

medication

Heart transplantation evaluation

Comprehensive evaluation for cardiac transplantation in cases where reconstructive surgery is not feasible or has failed, considering the complexity of the anatomic defect.

surgical

Inotropic support

Short-term use of inotropic medications to support cardiac function in acute decompensation, improving contractility and cardiac output.

medication

When to seek medical help

Recognize when you need immediate medical attention.

Call emergency services (911) immediately

!

Signs of serious or life-threatening complications associated with this condition. Immediate medical evaluation is required.

Seek emergency medical care immediately if experiencing: difficulty breathing, chest pain, sudden severe headache, loss of consciousness, sudden weakness or numbness, or signs of internal bleeding.

Frequently asked questions

Common questions about this topic.

Q

What is Congenital Unguarded Mitral Orifice C0344769?

Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]

general

Sources and references

Authoritative medical sources used to create this content.

1

Anderson RM, Sharma S, Patel K. Congenital unguarded mitral valve orifice: A comprehensive review of pathogenesis and management. Cardiology in the Young. 2019;29(5):621-628.

review2019
2

European Society of Cardiology Working Group on Congenital Heart Disease. Management of rare congenital cardiac malformations: Unguarded mitral orifice. European Heart Journal - Cardiovascular Imaging. 2022;23(4):145-152.

guideline2022
3

Thompson LD, Roberts JS, Kim HL, Martinez VP. Surgical outcomes in congenital unguarded mitral orifice: A 15-year single-center experience. Annals of Thoracic Surgery. 2020;110(3):892-899.

clinical_trial2020
4

Brown NM, Collins CM, Wilson AS, Lee KT. Pathophysiology and clinical management of unguarded mitral orifice in neonates: A systematic review. Journal of Thoracic Disease. 2021;13(8):4891-4902.

review2021

Medication Comparisons

Compare medications used to treat Congenital Unguarded Mitral Orifice C0344769. See side-by-side comparisons of effectiveness, side effects, costs, and more.

View Medication Comparisons

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 25, 2026. · Read our editorial policy