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Ann Thorac Surg 1996;62:1846-1848
© 1996 The Society of Thoracic Surgeons

Case Report

Nonobstructing Accessory Mitral Valve Tissue and Ventricular Septal Defect

Hiroshi Izumoto, MD, Kazuaki Ishihara, MD, Masaaki Ogawa, MD, Yutaka Fujii, MD, Kotaro Oyama, MD, Kohei Kawazoe, MD

Third Department of Surgery and Department of Pediatrics, Iwate Medical University, Morioka, Japan

Accepted for publication June 17, 1996.

A 4-month-old boy with ventricular septal defect was found to have accessory mitral valve tissue attached to the anterior leaflet of the mitral valve. Operation was successfully performed to excise the accessory mitral tissue in the left ventricular outflow tract and close the ventricular septal defect. Most previously reported cases with accessory mitral valve tissue were associated with left ventricular outflow tract obstruction. This boy had no pressure gradient across the left ventricular outflow tract. The indications for prophylactic excision of nonobstructing accessory mitral valve tissue in a patient with other forms of congenital cardiac disease are discussed.




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