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Ann Thorac Surg 2002;73:1302-1303
© 2002 The Society of Thoracic Surgeons

Case report

Mitral annular aneurysm resulting from subaortic muscle resection

Manabu Watanabe, MD*a, Yorikazu Harada, MDa, Takamasa Takeuchi, MDa, Gengi Satomi, MDb, Satoshi Yasukouchi, MDb

a Department of Cardiovascular Surgery Nagano Children’s Hospital, Nagano, Japan
b Department of Cardiology, Nagano Children’s Hospital, Nagano, Japan

Accepted for publication August 14, 2001.

* Address reprint requests to Dr Watanabe, Department of Cardiovascular Surgery, Nagano Children’s Hospital, 3100 Toyoshina, Toyoshina-machi, Minamiazumi-gun, Nagano 1399-8288, Japan
e-mail: dookuman{at}beige.ocn.ne.jp

We present a case of mitral annular aneurysm as a very rare complication developing soon after the surgical relief of subaortic stenosis. The cause of the aneurysm was considered to be the disruption of aorto-mitral intervalvular fibrosa at the initial operation. The surgical repair was successfully performed without compromising either aortic or mitral valvular functions. The preoperative transesophageal echocardiography was useful in delineating the precise anatomic features of this rare complication.






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Copyright © 2002 by The Society of Thoracic Surgeons.