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Hisataka Yasui
Hideaki Kado
Shigehiko Tokunaga
Munetaka Masuda
Kouichi Tokunaga
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Ann Thorac Surg 1993;55:950-953
© 1993 The Society of Thoracic Surgeons

Articles

Trans-ventricular septal defect approach for resection of accessory mitral valve tissue

Hisataka Yasui, MD*, Hideaki Kado, MD, Shigehiko Tokunaga, MD, Yasuo Kanegae, MD, Kouji Fukae, MD, Munetaka Masuda, MD, Kouichi Tokunaga, MD

Department of Cardiac Surgery, Kyushu University School of Medicine, and Division of Cardiovascular Surgery, Fukuoka Children's Hospital, Fukuoka, Japan

Accepted for publication July 27, 1992.

* Address reprint requests to Dr Yasui, Department of Cardiac Surgery, Kyushu University School of Medicine, 3-1-1, Maidashi, Higashiku, Fukuoka 812, Japan.

Accessory mitral valve tissue is a rare cause of left ventricular outflow tract obstruction, which can be difficult to recognize. Surgical resection by the conventional transaortic approach with or without left atriotomy is extremely difficult in infants with a small aorta. When a ventricular septal defect is present, it may be the best way to approach tha accessory mitral valve tissue, because the ventricular septal defect is located just in front of it. Five infants underwent resection of accessory mitral valve tissue together with repair of other intracardiac malformations. In 3 infants, resection of accessory mitral valve tissue was easily performed through the ventricular septal defect, which required enlargement in 2 patients.




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