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Ann Thorac Surg 1986;42:581-584
© 1986 The Society of Thoracic Surgeons

Articles

Accessory Mitral Valve Tissue Causing Left Ventricular Outflow Obstruction (Two-Dimensional Echocardiographic Diagnosis and Surgical Approach)

Robert J. Ascuitto, M.D., Ph.D.*, Nancy T. Ross-Ascuitto, M.D., Gary S. Kopf, M.D., Charles S. Kleinman, M.D., Norman S. Talner, M.D.

From the Section of Pediatric Cardiology and Cardiovascular Surgery, Yale University School of Medicine, New Haven, CT

Accepted for publication December 11, 1985.

* Address reprint requests to Dr. Ascuitto, Section-Pediatric Cardiology, Yale University School of Medicine, 302 LCI York St, New Haven, CT 06510

Accessory mitral valve tissue, a rare cause of left ventricular outflow tract obstruction, can be difficult to diagnose preoperatively and confusing even at surgery. The reported case illustrates how preoperative evaluation can be made using two-dimensional echocardiography combined with Doppler flow analysis. The intraoperative technique for removing the accessory tissue without causing damage to the native mitral valve is discussed.




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