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#AsktheMayoMom about Pediatric Congenital Heart Defects Event Date: October 20, 2016 | 2:30pm - 3:00pm CT

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@bellheartmom

If possible I would like to know more about the use of ACE inhibitors for treatment of mitral valve regurgitation. My daughter was born with infracardiac TAPVR that was repaired at 17 days. Due to the repair she has mitral value regurgitation. The surgeons were hopeful it would improve with time but now she is 4 and it is getting worse. We are currently trying and ACEi at a low dose before we consider surgery. Any information you can provide around the safety and efficacy of this treatment would be appreciated. I am also interested in any risks associated with long term use of ACEi in children. If she does need surgery - any questions that we should be asking specifically about mitral valve repair. Thanks for all you do and for sharing your knowledge.

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Replies to "If possible I would like to know more about the use of ACE inhibitors for treatment..."

Hi, @bellheartmom. Here is a response from Dr. Dearani: Mitral regurgitation is not commonly associated with TAPVR. The medical program that your child is on appears to be appropriate. If the mitral regurgitation continues to get worse and the heart starts to show evidence of dilatation then it is possible that surgical intervention may be necessary. If surgery is needed, mitral valve repair would be the preferred operation.